Deborah Wagner PHD LLC

NPI #1801093745 in Ridgewood, New Jersey

Provider Information

NPI Number: 1801093745
Entity Type: Organization
Organization Name: Deborah Wagner PHD LLC
Primary Specialty: Psychologist
Enumeration Date: Jul 2, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 1172 EAST RIDGEWOOD AVENUE
Address 2: SUITE #2
City: Ridgewood
State: New Jersey
ZIP Code: 07450-3928
Phone: (201) 445-3299

Authorized Official

Name: DR. DEBORAH RISKU WAGNER, PHD
Title: PRESIDENT PSYCHOLOGIST
Phone: (201) 445-3299

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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