DR. LARRY WAGONER, PH.D., LMFT
Marriage & Family Therapist
Active
Individual
NPI: 1417046699
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Yes | MT1162 (FL) |
Frequently Asked Questions
NPI 1417046699 is the National Provider Identifier for DR. LARRY WAGONER, PH.D., LMFT, a Marriage & Family Therapist provider located in Jacksonville, FL. This NPI was enumerated on October 12, 2006.
DR. LARRY WAGONER, PH.D., LMFT practices at 7545 CENTURION PKWY, SUITE # 105, Jacksonville, FL 32256.
Quick Facts
- NPI
- 1417046699
- Type
- Individual
- Enumerated
- Oct 12, 2006
- Last Updated
- Jan 29, 2013
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