DR. LARRY D WAGONER (PH.D., LMFT) – Marriage & Family Therapist, NPI 1417046699

DR. LARRY D WAGONER (PH.D., LMFT) is a healthcare provider. based in Jacksonville, Florida. specializing in Marriage & Family Therapist. They hold the professional credentials PH.D., LMFT. They hold a License No. MT1162 (FL). The NPI Number for DR. LARRY D WAGONER (PH.D., LMFT) is 1417046699

Main info

Male
Sole Proprietor
Name
DR. LARRY D WAGONER (PH.D., LMFT)
NPI
1417046699
Phone
(904) 642-2468
Address
7545 CENTURION PKWY
Enumeration Date
12 October 2006
Last Update Date
29 January 2013
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. LARRY D WAGONER (PH.D., LMFT)

  • 7545, Centurion Parkway, Deerwood Park, Jacksonville, Duval County, Florida, 32256, United States

    SUITE # 105

    JACKSONVILLE, FL 322560579

    Phone: (904) 642-2468

    Fax: (904) 642-2469

    Type: Location

  • 2058, Beach Avenue, North Atlantic Beach, Atlantic Beach, Duval County, Florida, 32233, United States

    ATLANTIC BEACH, FL 322335935

    Phone: (904) 372-7365

    Fax: (904) 372-7365

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32256)

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Reviews

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Frequently asked questions

What is DR. LARRY D WAGONER (PH.D., LMFT)'s NPI number?
DR. LARRY D WAGONER (PH.D., LMFT)'s NPI is 1417046699 — the number used across U.S. healthcare to identify this provider.
Would DR. LARRY D WAGONER (PH.D., LMFT) appear as active to a payer?
You can treat DR. LARRY D WAGONER (PH.D., LMFT) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to DR. LARRY D WAGONER (PH.D., LMFT)?
DR. LARRY D WAGONER (PH.D., LMFT)'s specialty line reads Marriage & Family Therapist. Clinical services aligned with this taxonomy classification.
Is DR. LARRY D WAGONER (PH.D., LMFT) located near Jacksonville?
DR. LARRY D WAGONER (PH.D., LMFT) currently maps to Jacksonville, Florida in this extract.
Can I trust this NPI listing for DR. LARRY D WAGONER (PH.D., LMFT)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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