# PIAZZA-WAGGONER PEDIATRIC PSYCHOLOGY AND BEHAVIORAL HEALTH, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396287512
- **Authorized official:** DR. CARRIE PIAZZA-WAGGONER PH.D. (MANAGER)
- **Authorized official phone:** (513) 919-1371

## Contact information

- **Practice address:** 7799 JOAN DR, WEST CHESTER, OH 45069-3682
- **Practice address phone:** (513) 204-5746
- **Mailing address:** 11708 LAURELVIEW DR, MONTGOMERY, OH 45249-2710
- **Mailing address phone:** (513) 919-1371

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC2200X | Clinical Child & Adolescent Psychologist | 6218 | OH | Yes |

## Other

- **Enumeration date:** 11/07/2016
- **Last updated:** 11/07/2016