Individual
DR. BONNIE WIESNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
7 KNOLLWOOD DRIVE, RAMSEY, NJ 07416
(201) 825-0528
Mailing address
7 KNOLLWOOD DRIVE, RAMSEY, NJ 07416
(201) 825-0528
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
010679
NY
103T00000X
Psychologist
Primary
35S100286200
NJ
Other
Enumeration date
07/21/2006
Last updated
11/03/2010
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