DR. CRAIG D. WAGGONER PHD MPAP NPI 1578517439

NPI Information

DR. Craig D. Waggoner, PHD, MPAP is a prescribing (medical) psychologist in Lake Charles, LA. The provider is a licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended. DR. Craig D. Waggoner, PHD, MPAP NPI is 1578517439. 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:

4105 KIRKMAN ST
LAKE CHARLES, LA
ZIP 70607-603
Phone: (337) 475-8022
Fax: (337) 475-8054

The enumeration date for this NPI number is 5/22/2006 and was last updated on 2/7/2013.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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.