Individual
DR. RONNIE KOPP WIENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
8204 POLK DRIVE, WHARTON, NJ 07885-4202
(973) 586-3022
Mailing address
8204 POLK DRIVE, WHARTON, NJ 07885-4202
(973) 586-3022
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
37FI00121100
NJ
Other
Enumeration date
12/12/2006
Last updated
10/04/2012
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