| The Wagner Center For Psychotherapy | |
|
1172 E Ridgewood Ave Suite #2 Ridgewood NJ 07450-3936 | |
| (201) 445-3299 | |
| (201) 445-5940 |
| Full Name | The Wagner Center For Psychotherapy |
|---|---|
| Speciality | Psychologist |
| Location | 1172 E Ridgewood Ave, Ridgewood, New Jersey |
| Authorized Official Name and Position | Deborah Rifka Wagner (PRESIDENT) |
| Authorized Official Contact | 2014453299 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Wagner Center For Psychotherapy 1172 E Ridgewood Ave Suite #2 Ridgewood NJ 07450-3936 Ph: (201) 445-3299 | The Wagner Center For Psychotherapy 1172 E Ridgewood Ave Suite #2 Ridgewood NJ 07450-3936 Ph: (201) 445-3299 |
| NPI Number | 1801164124 |
|---|---|
| Provider Enumeration Date | 12/01/2011 |
| Last Update Date | 12/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801164124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 35S100358200 (New Jersey) | Primary |
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