Organization
MIND BODY SOUL - PSYCHOLOGY AND CONSULTING GROUP LLC
Active
Organization
MIND BODY SOUL - PSYCHOLOGY AND CONSULTING GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORI WAGNER PSYD (OWNER, CLINICAL PSYCHOLOGIST)
(203) 494-8468
Entity
Organization
Contact information
Practice address
109 DANBURY ROAD, LOWER LEVEL, SUITE D6, RIDGEFIELD, CT 06877-0687
(203) 494-8468
(845) 582-0764
Mailing address
109 DANBURY ROAD, LOWER LEVEL, SUITE D6, RIDGEFIELD, CT 06877
(203) 494-8468
(845) 582-0764
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2706
CT
Other
Enumeration date
05/17/2017
Last updated
07/21/2022
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