| Deborah Wagner Phd Llc | |
|
1172 East Ridgewood Avenue Suite #2 Ridgewood NJ 07450-3928 | |
| (201) 445-3299 | |
| (201) 262-0425 |
| Full Name | Deborah Wagner Phd Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1172 East Ridgewood Avenue, Ridgewood, New Jersey |
| Authorized Official Name and Position | Deborah Risku Wagner (PRESIDENT PSYCHOLOGIST) |
| Authorized Official Contact | 2014453299 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deborah Wagner Phd Llc 1172 East Ridgewood Avenue Suite #2 Ridgewood NJ 07450-3928 Ph: (201) 445-3299 | Deborah Wagner Phd Llc 1172 East Ridgewood Avenue Suite #2 Ridgewood NJ 07450-3928 Ph: (201) 445-3299 |
| NPI Number | 1801093745 |
|---|---|
| Provider Enumeration Date | 07/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801093745 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 35SI00358200 (New Jersey) | Primary |
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