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Active NPI 1972675486 Individual Practitioner Male Practitioner

Dr. Lyle Walter Wagner , PhD

Psychologist • Litchfield, MN

Professional Overview & Biography Verified Profile Summary

Dr. Lyle Wagner, PhD is a registered healthcare professional specializing in Psychologist in Litchfield, MN. Practice services are available at 236 N SIBLEY AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

236 N Sibley Ave

Litchfield, MN 55355

Telephone 3206937708
Fax 3204342176

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Litchfield, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.6 Yrs
Regional Practice Density
1 Specialists

Practicing in Litchfield, MN (1833 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License MN LP0681

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location July 06, 2018

Registered at 236 N SIBLEY AVE, LITCHFIELD, MN 55355 (Tel: 3206937708)

📍
Updated Business Mailing Address July 06, 2018

Registered at 236 N SIBLEY AVE, LITCHFIELD, MN 553552141 (Tel: 3206937708)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 623 S SIBLEY AVE, LITCHFIELD, MN 553553339 (Tel: 3206937708)

📍
Updated Business Mailing Address July 08, 2007

Registered at 623 S SIBLEY AVE, LITCHFIELD, MN 553553339 (Tel: 3206937708)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as LYLE WAGNER, PHD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #LP0681 in MN)

🟢
Initial NPI Registration & Enumeration November 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1972675486
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 14, 2006
Last Update: July 06, 2018
Sole Proprietor: Yes

Mailing Address

236 N Sibley Ave

Litchfield, MN 553552141

Phone: 3206937708

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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