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Dr. Craig D. Waggoner, PHD,MPAP
Prescribing (Medical) Psychologist in Lake Charles, Louisiana
NPI 1578517439

Craig D. Waggoner is a Prescribing (Medical) Psychologist based in Lake Charles, LA and is specialized in Prescribing (Medical). Craig D. Waggoner practices in Lake Charles, LA and has the professional credentials of PHD,MPAP. The NPI Number for Craig D. Waggoner is 1578517439 and holds a License No. MPAP.000029 (Louisiana).

The current practice location address for Craig D. Waggoner is 4105 Kirkman St, Lake Charles, LA and can be reached out via phone at 337-475-8022 and via fax at 337-475-8054. You can also correspond with Craig D. Waggoner through the mailing address at 4105 KIRKMAN ST, LAKE CHARLES, LA - 70607-4603 (mailing address contact number: 337-475-8022).

Location: 4105 Kirkman St, Lake Charles, LA, 70607-4603
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578517439
Provider Name
Craig D. Waggoner
Credential
PHD,MPAP
Provider Entity Type
Individual
Gender
Male
Address
4105 Kirkman St, Lake Charles, LA, 70607-4603
Phone Number
337-475-8022
Fax Number
337-475-8054
Provider Enumeration Date
05/22/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4105 Kirkman St
City
Lake Charles
State
Louisiana
Zip
70607-4603
Phone Number
337-475-8022
Fax Number
337-475-8054
person
Provider Business Mailing Address Details
Address
4105 Kirkman St
City
Lake Charles
State
Louisiana
Zip
70607-4603
Phone Number
337-475-8022
Fax Number
337-475-8054
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Prescribing (Medical)
Taxonomy
103TP0016X
License No.
MPAP.000029 (Louisiana)
Definition
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has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
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