Ronnie Kopp Wiener, PH.D.

Individual provider Active NPI Marriage & Family Therapist · Wharton, NJ

NPI 1861553091 · NPPES record last updated Oct 4, 2012

Key facts

NPI
1861553091
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
37FI00121100 (NJ)
Practice address
8204 Polk Drive
Wharton, NJ 07885-4202
Phone
(973) 586-3022
NPI assigned
Dec 12, 2006
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
37FI00121100NJMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 37FI00121100 NJ Yes

Addresses

Primary practice location

8204 Polk Drive
Wharton, NJ 07885-4202

Mailing address

8204 Polk Drive
Wharton, NJ 07885-4202
Phone (973) 586-3022

Other names

  • Ronnie Goldstein Kopp Former name

Other providers in Wharton, NJ

All providers in Wharton, NJ · Marriage & Family Therapist in New Jersey

Sources for this page

Verify at the official NPI Registry.