Deborah Wagner Phd Llc in Ridgewood - Psychologist
Deborah Wagner Phd Llc - NPI 1801093745
Deborah Wagner Phd Llc is a Psychologist in Ridgewood, New Jersey. Deborah Wagner Phd Llc practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Deborah Wagner Phd Llc is 1801093745. The last update date is 2020-08-22.
Deborah Wagner Phd Llc's current location address is 1172 East Ridgewood Avenue, Ridgewood, New Jersey. You can contact this provider via phone number 2014453299 and fax number 2012620425. The mailing address for Deborah Wagner Phd Llc is 1172 East Ridgewood Avenue, Ridgewood, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Deborah Wagner Phd Llc |
|---|---|
| Address | 1172 East Ridgewood Avenue, Ridgewood, New Jersey |
| Phone Number | 2014453299 |
| Fax Number | 2012620425 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Wagner Risku Deborah |
| Credentials | PHD |
| Telephone Number | 2014453299 |
NPI Number Detail
| NPI Number | 1801093745 |
|---|---|
| Provider Enumeration Date | 2007-07-02 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1172 East Ridgewood Avenue |
|---|---|
| City | Ridgewood |
| State | New Jersey (NJ) |
| Post Code | 74503928 |
| Phone Number | 2014453299 |
| Fax Number | 2012620425 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 35SI00358200 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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What is the unique identification code assigned to Deborah Wagner Phd Llc by the Centers for Medicare & Medicaid Services?
The Deborah Wagner Phd Llc has been issued the NPI (National Provider Identifier) 1801093745. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Deborah Wagner Phd Llc?
The Deborah Wagner Phd Llc is physically situated at 1172 East Ridgewood Avenue, in the city of Ridgewood, state of NJ, with the postal code 74503928.
What is Deborah Wagner Phd Llc's area of expertise and its corresponding taxonomy classification?
The Deborah Wagner Phd Llc's field of specialization is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1801093745 to Deborah Wagner Phd Llc?
The Centers for Medicare & Medicaid Services assigned the 1801093745 to Deborah Wagner Phd Llc on 2007-07-02.
When was the information pertaining to Deborah Wagner Phd Llc most recently updated or revised?
The details related to Deborah Wagner Phd Llc, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.
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