Individual
DR. CAROL R. WENZEL-RIDEOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
51 UPPER MONTCLAIR PLZ, SUITE 17, UPPER MONTCLAIR, NJ 07043-1340
(973) 809-9755
Mailing address
51 UPPER MONTCLAIR PLZ, SUITE 17, UPPER MONTCLAIR, NJ 07043-1340
(973) 809-9755
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35SI00471300
NJ
Other
Enumeration date
04/20/2007
Last updated
01/31/2011
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