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

Wyatt Alan Agnew, MFTINTERN

Individual provider Marriage & Family Therapist · NPI 1538751771

Wyatt Alan Agnew, MFTINTERN is a Marriage and Family Therapist in Mesa, Arizona. Qualified in 2021, 5 years ago. Registered with an NPI since 2021.

Years since qualifying
5
In the registry since
2021

Practice location Address checks out

235 S El Dorado Cir
Mesa, AZ 85202-1044
Phone: (480) 968-2995
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X

Record details

NPI number1538751771
Entity typeIndividual (Type 1)
GenderMale
Credentials MFTINTERN
Sole proprietorNo
NPI enumeratedFebruary 9, 2021
Last updated in NPPESFebruary 9, 2021
Certification dateFebruary 9, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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