Organization
THE WAGNER CENTER FOR PSYCHOTHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBORAH RIFKA WAGNER PH.D. (PRESIDENT)
(201) 445-3299
Entity
Organization
Contact information
Practice address
1172 E RIDGEWOOD AVE, SUITE #2, RIDGEWOOD, NJ 07450-3936
(201) 445-3299
(201) 445-5940
Mailing address
1172 E RIDGEWOOD AVE, SUITE #2, RIDGEWOOD, NJ 07450-3936
(201) 445-3299
(201) 445-5940
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35S100358200
NJ
Other
Enumeration date
12/01/2011
Last updated
12/01/2011
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