Active NPIIndividual provider

Dr. Ira E Wisotzek, PHD

Psychologist, Clinical in Lyons, New Jersey

NPI Number1013924281
Practice location
151 Knollcroft RD, Mental Health And Behavioral Science, Lyons, NJ 07939-5001
Fax
—
Last updated
July 8, 2007

Ira Emanuel Wisotzek is a Psychologist, Clinical based in Lyons, NJ. Ira Emanuel Wisotzek practices in Lyons, NJ and has the professional credentials of PHD. The NPI Number for Ira Emanuel Wisotzek is 1013924281 and holds a License No. 35S100286300 (NJ). The current practice location address for Ira Emanuel Wisotzek is 151 Knollcroft RD, Mental Health And Behavioral Science, Lyons, NJ 07939-5001 and can be reached out via phone at 908-647-0180.

Provider Profile Details

NPI Number
1013924281
Provider Name
Ira Emanuel Wisotzek
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
151 Knollcroft RD, Mental Health And Behavioral Science, Lyons, NJ 07939-5001
Phone Number
908-647-0180
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
No
Provider Enumeration Date
August 1, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
151 Knollcroft RD
Mental Health And Behavioral Science
Lyons, NJ 07939-5001
City
Lyons
Zip
07939-5001
Phone Number
908-647-0180
Lyons, NJ 07939Get directions →

Provider Business Mailing Address Details

Address
32 Crabapple Pl
Newtown, PA 18940-9281
City
Newtown
State
PA
Zip
18940-9281
Phone Number
215-968-3906

License Information

License Number (1)
35S100286300
License State (1)
NJ
Taxonomy (1)
Psychologist, Clinical · 103TC0700X · Primary
License Number (2)
0111941
License State (2)
NY
Taxonomy (2)
Psychologist, Clinical · 103TC0700X
License Number (3)
PS015502
License State (3)
PA
Taxonomy (3)
Psychologist, Clinical · 103TC0700X

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 Dr. Ira E Wisotzek, PHD?

The NPI number of Dr. Ira E Wisotzek, PHD is 1013924281. It was assigned on August 1, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Ira E Wisotzek, PHD?

Dr. Ira E Wisotzek, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in NJ under license number 35S100286300.

Where does Dr. Ira E Wisotzek, PHD practice?

The practice location is 151 Knollcroft RD, Mental Health And Behavioral Science, Lyons, NJ 07939-5001. The office can be reached at 908-647-0180 (phone).

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 1013924281 directly on the NPPES registry website.

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