Provider Demographics
NPI:1578273421
Name:HOGGARD WAGLEY, CAITLYN AURIELLA (LMHCA)
Entity Type:Individual
Prefix:
First Name:CAITLYN
Middle Name:AURIELLA
Last Name:HOGGARD WAGLEY
Suffix:
Gender:F
Credentials:LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:683 SUNBLEST BLVD
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46038-1165
Mailing Address - Country:US
Mailing Address - Phone:317-354-6943
Mailing Address - Fax:
Practice Address - Street 1:11956 FISHERS CROSSING DR
Practice Address - Street 2:
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46038-2702
Practice Address - Country:US
Practice Address - Phone:317-842-5555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-01
Last Update Date:2022-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health