Provider Type Icon

MR. THEODORE LEE WAGENER M.S. NPI 1780854059


NPI Information

NPI: 1780854059
Provider Name: MR. THEODORE LEE WAGENER, M.S.
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
940 NE 13TH ST
OKLAHOMA CITY, OK
ZIP 73104
Phone: (405) 271-4407
Get Directions

MR. Theodore Lee Wagener, M.S. is a mental health counselor in Oklahoma City, OK. MR. Theodore Lee Wagener, M.S. NPI is 1780854059. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

940 NE 13TH ST
OKLAHOMA CITY, OK
ZIP 73104-008
Phone: (405) 271-4407

The enumeration date for this NPI number is 3/3/2008 and was last updated on 3/3/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.