| Doctor Name: | DR. MARIAN RISSENBERG |
| NPI Number: | 1457634354 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | 009016 |
| Business Practice Address: | 125 Katonah Ave Katonah, NY - 105362136 |
| Business Phone Number: | 9142326245 |
| Business Fax Number: | 9142326245 |
| Mailing Address: | 125 Katonah Ave, KATONAH |
| State: | NY |
| Postal Code: | 105362136 |
| Phone Number: | 9142326245 |
| Fax Number: | 9142326245 |
| NPI Enumeration Date: | 09/27/2011 |
| NPI Last Update Date: | 03/04/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TA0700X |
| License Number: | 009016 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Adult Development & Aging |
| Taxonomy Definition: | |