Most Relevant Information
Provider Data
| NPI Number: | 1003420506 |
| Provider Name: | TALIA WIGOD PSYD |
| Entity Type: | Individual |
| Taxonomy Code: | 103TC0700X |
| Specialty: | Psychologist |
| License Number: | 023818 |
Most Important Dates
| Enumeration Date: | 09/02/2020 |
| Last Updated: | 09/02/2020 |
Provider Practice Location
1 N BROADWAY STE 704
WHITE PLAINS
NY
106012320
Practice Location Phone/Fax
| Phone: | 5163598150 |
| Fax: |
Provider Mailing Location
1 N BROADWAY STE 704
WHITE PLAINS
NY
106012320
Provider Mailing Phone/Fax
| Phone: | 5163598150 |
| Fax: |