Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Marilyn M Wagner, PHD

Individual provider Clinical Neuropsychologist · NPI 1598757213

Marilyn M Wagner, PHD is a Clinical Neuropsychologist in Louisville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2005.

Licensed in
KY
In the registry since
2005
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

7511 New Lagrange Rd
Louisville, KY 40222-4859
Phone: (502) 423-1151
Fax: (502) 423-1748
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence 553 (KY)

Record details

NPI number1598757213
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedAugust 18, 2005
Last updated in NPPESJuly 13, 2026

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