Individual
ELIZABETH E VERGOZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH D
Contact information
Practice address
65 N MAPLE AVE, SUITE 301, RIDGEWOOD, NJ 07450-3233
(201) 655-5434
Mailing address
65 N MAPLE AVE, SUITE 301, RIDGEWOOD, NJ 07450-3233
(201) 655-5434
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
0117161
NY
103T00000X
Psychologist
Primary
4253
NJ
Other
Enumeration date
07/28/2006
Last updated
08/24/2021
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