Mind Body Soul - Psychology and Consulting Group LLC
NPI #1912434234 in Ridgefield, Connecticut
Provider Information
- NPI Number
- 1912434234
- Entity Type
- Organization
- Organization Name
- Mind Body Soul - Psychology and Consulting Group LLC
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- May 17, 2017
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 109 DANBURY ROAD
- Address 2
- LOWER LEVEL, SUITE D6
- City
- Ridgefield
- State
- Connecticut
- ZIP Code
- 06877-0687
- Phone
- (203) 494-8468
Authorized Official
- Name
- DR. LORI WAGNER, PSYD
- Title
- OWNER, CLINICAL PSYCHOLOGIST
- Phone
- (203) 494-8468
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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