Individual
DR. STEPHEN JEFFREY WAKSCHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2291 VICTORY BLVD, STATEN ISLAND, NY 10314-6625
(718) 477-0228
(718) 477-0228
Mailing address
2291 VICTORY BLVD, STATEN ISLAND, NY 10314-6625
(718) 477-0228
(718) 477-0228
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
016089
NY
103TC0700X
Clinical Psychologist
016089
NY
103TC2200X
Clinical Child & Adolescent Psychologist
016089
NY
103TF0000X
Family Psychologist
016089
NY
Other
Enumeration date
01/26/2007
Last updated
09/11/2025
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