Dr Craig D Waggoner, PHD, MPAP - Psychologist in Lake Charles, LA

Dr Craig D Waggoner, PHD, MPAP is a Psychologist - Prescribing (medical) based in Lake Charles, Louisiana. Dr Craig D Waggoner is licensed to practice in Louisiana (license number MPAP.000029) and his current practice location is 4105 Kirkman St, Lake Charles, Louisiana. He can be reached at his office (for appointments etc.) via phone at (337) 475-8022.

NPI number for Dr Craig D Waggoner is 1578517439 and his current mailing address is 4105 Kirkman St, Lake Charles, Louisiana. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1578517439.

Contact Information

Dr Craig D Waggoner, PHD, MPAP
4105 Kirkman St,
Lake Charles, LA 70607-4603
(337) 475-8022
(337) 475-8054

Map and Direction




Healthcare Provider's Profile

Full NameDr Craig D Waggoner
GenderMale
SpecialityPsychologist - Prescribing (medical)
Location4105 Kirkman St, Lake Charles, Louisiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1578517439
  • Provider Enumeration Date: 05/22/2006
  • Last Update Date: 02/07/2013

Medical Identifiers

Medical identifiers for Dr Craig D Waggoner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578517439NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TP0016XPsychologist - Prescribing (medical) MPAP.000029 (Louisiana)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Craig D Waggoner is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Craig D Waggoner, PHD, MPAP
4105 Kirkman St,
Lake Charles, LA 70607-4603

Ph: (337) 475-8022
Dr Craig D Waggoner, PHD, MPAP
4105 Kirkman St,
Lake Charles, LA 70607-4603

Ph: (337) 475-8022

Reviews and Comments


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