| Dr Blake Douglas Wagner Jr, PHD | |
| 1575 Marion Ave, Mansfield, OH 44906-3409 | |
| (419) 529-9941 | |
| (419) 529-0496 | 
| Full Name | Dr Blake Douglas Wagner Jr | 
|---|---|
| Gender | Male | 
| Speciality | |
| Experience | Years | 
| Location | 1575 Marion Ave, Mansfield, Ohio | 
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1013069061 | NPI | - | NPPES | 
| 000000315185 | Other | ANTHEM | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 103T00000X | Psychologist | I-4127 (Ohio) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Blake Douglas Wagner Jr, PHD 1575 Marion Ave, Mansfield, OH 44906-3409 Ph: (419) 529-9941 | Dr Blake Douglas Wagner Jr, PHD 1575 Marion Ave, Mansfield, OH 44906-3409 Ph: (419) 529-9941 | 
| Dr. Ellen F. Stark, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1150 N Main St, Mansfield, OH 44903 Phone: 419-525-4455 | |
| Wade Brill, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1001 Olivesburg Rd, Mansfield, OH 44905 Phone: 419-526-2100 Fax: 419-521-2822 | |
| Bradley Fox, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 741 Scholl Rd, Mansfield, OH 44907 Phone: 419-774-6757 Fax: 419-756-2594 | |
| Rhonda Curtis,  Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1153 Woodland Rd, Mansfield, OH 44907 Phone: 419-756-8442 | |
| Kelly Elizabeth Roudabush-patel,  Psychologist Medicare: Not Enrolled in Medicare Practice Location: 856 W Cook Rd, Mansfield, OH 44907 Phone: 419-525-6400 | |
| Dr. Dennis Andrew Marikis, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 788 Lexington Ave, Mansfield, OH 44907 Phone: 419-756-2828 Fax: 417-753-9913 |