Active NPIOrganization

Deborah Wagner PHD LLC

Psychologist in Ridgewood, New Jersey

NPI Number1801093745
Practice location
1172 East Ridgewood Avenue, Suite #2, Ridgewood, NJ 07450-3928
Fax
201-262-0425
Last updated
August 22, 2020

Deborah Wagner PHD LLC is a healthcare organization based in Ridgewood, NJ. Deborah Wagner PHD LLC practices in Ridgewood, NJ. The NPI Number for Deborah Wagner PHD LLC is 1801093745 and holds a License No. 35SI00358200 (NJ). The current practice location address for Deborah Wagner PHD LLC is 1172 East Ridgewood Avenue, Suite #2, Ridgewood, NJ 07450-3928 and can be reached out via phone at 201-445-3299 and via fax at 201-262-0425.

Provider Profile Details

NPI Number
1801093745
Provider Name
Deborah Wagner PHD LLC
Provider Entity Type
Organization
Address
1172 East Ridgewood Avenue, Suite #2, Ridgewood, NJ 07450-3928
Phone Number
201-445-3299
Fax Number
201-262-0425
Primary Taxonomy
Psychologist · 103T00000X
Organization Subpart
No
Authorized Official
Dr. Deborah Risku Wagner, PHD · President Psychologist · 201-445-3299
Provider Enumeration Date
July 2, 2007
Last Update Date
August 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
1172 East Ridgewood Avenue
Suite #2
Ridgewood, NJ 07450-3928
Zip
07450-3928
Phone Number
201-445-3299
Fax Number
201-262-0425
Ridgewood, NJ 07450Get directions →

Provider Business Mailing Address Details

Address
1172 East Ridgewood Avenue
Suite #2
Ridgewood, NJ 07450-3928
City
Ridgewood
State
NJ
Zip
07450-3928
Phone Number
201-445-3299
Fax Number
201-262-0425

License Information

License Number
35SI00358200
License State
NJ
Taxonomy
Psychologist · 103T00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Deborah Wagner PHD LLC?

The NPI number of Deborah Wagner PHD LLC is 1801093745. It was assigned on July 2, 2007 and is currently active in the NPPES registry.

What is the specialty of Deborah Wagner PHD LLC?

Deborah Wagner PHD LLC is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in NJ under license number 35SI00358200.

Where does Deborah Wagner PHD LLC practice?

The practice location is 1172 East Ridgewood Avenue, Suite #2, Ridgewood, NJ 07450-3928. The office can be reached at 201-445-3299 (phone) or 201-262-0425 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1801093745 directly on the NPPES registry website.

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