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Lyle Walter Wagner III, PHD, LP

Clinical Psychologist in Coon Rapids, MN · enumerated 2014.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1649683939

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Registry record

Entity type Individual (Type 1)
Name Lyle Walter Wagner III
Credential PHD, LP
Sex Male
Practice address 3907 Coon Rapids Blvd Nw, Coon Rapids, MN, 55433
Fax (651) 925-0071
Enumeration date Jun 4, 2014
Last updated in NPPES Jun 4, 2014

Taxonomy & licenses

103TC0700X Clinical Psychologist Behavioral Health & Social Service Providers · License 5751 (MN) Primary
PHD · Doctor of Philosophy: A doctoral degree; in healthcare often held by clinical psychologists and researchers. About the PHD credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Lyle Wagner practice?
The practice location on file with NPPES is in Coon Rapids, MN. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Lyle Wagner?
The National Provider Identifier (NPI) for Lyle Wagner is 1649683939, a Type 1 (individual) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-06-04.