Organization
PIAZZA-WAGGONER PEDIATRIC PSYCHOLOGY AND BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARRIE PIAZZA-WAGGONER PH.D. (MANAGER)
(513) 919-1371
Entity
Organization
Contact information
Practice address
7799 JOAN DR, WEST CHESTER, OH 45069-3682
(513) 204-5746
Mailing address
11708 LAURELVIEW DR, MONTGOMERY, OH 45249-2710
(513) 919-1371
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
6218
OH
Other
Enumeration date
11/07/2016
Last updated
11/07/2016
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