Individual
DR. EPHREM WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
PSYD
Contact information
Practice address
1380 TEANECK RD APT E, TEANECK, NJ 07666-5027
(516) 340-0446
Mailing address
1380 TEANECK RD APT E, TEANECK, NJ 07666-5027
(516) 340-0446
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35SI00809300
NJ
Other
Enumeration date
04/15/2026
Last updated
04/15/2026
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