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Scott T Wagoner

Clinical Child & Adolescent Psychologist

705 Riley Hospital Dr
Indianapolis , Indiana 46202-5109

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Scott T Wagoner

Clinical Child & Adolescent Psychologist

705 Riley Hospital Dr
Indianapolis , Indiana 46202-5109

Write a Review Save Call

Scott T Wagoner

Clinical Child & Adolescent Psychologist

705 Riley Hospital Dr
Indianapolis , Indiana 46202-5109

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Clinical Child & Adolescent Psychologist

Languages spoken

  • English

Location

705 Riley Hospital Dr Indianapolis , Indiana 46202-5109

First Address

  • Scott T Wagoner
  • 250 N Shadeland Ave
  • Indianapolis, IN
  • Zip : 46219-4959
  • Phone :

Second Address

  • Scott T Wagoner
  • 705 Riley Hospital Dr
  • Indianapolis, IN
  • Zip : 46202-5109
  • Fax : (317) 944-8521
  • Phone : (317) 944-3774

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FAQs


Where did Scott T Wagoner attend graduate school?

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Where did Scott T Wagoner do his residency?

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Where did Scott T Wagoner do his fellowship?

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Is Scott T Wagoner board certified?

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What type of doctor is Scott T Wagoner

Clinical Child & Adolescent Psychologist

In what state does Scott T Wagoner practice in?

Indiana

Where is Scott T Wagoner ’s practice located?

705 Riley Hospital Dr , Indianapolis, Indiana, 46202-5109

What is Scott T Wagoner ’s gender?

Male

Is Scott T Wagoner a sole practitioner?

No

Is Scott T Wagoner accepting new patients?

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What languages does Scott T Wagoner speak?

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Does Scott T Wagoner accept insurance?

Yes, Scott T Wagoner accepts insurance

Does Scott T Wagoner offers telemedicine?

Scott T Wagoner has not indicated if he offers telemedicine

What is Scott T Wagoner ’s professional license number?

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What is Scott T Wagoner ’s NPI number?

1134738057

Does Scott T Wagoner have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 103TC2200X Clinical Child & Adolescent Psychologist 20043486B IN

National Provider Identifier

NPI 1134738057
Provider Name Scott T Wagoner
First Address Indianapolis, IN 46219-4959
Second Address Indianapolis, IN 46202-5109
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 27/07/2020
Last Update Date 07/12/2021

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
300054621 (05) IN

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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