Susan Wildermann, MA, PD(MFT), LPC
Counselor, Professional in Belford, New Jersey
1083890123- Practice location
- 512 Clinton Ave, Belford, NJ 07718-1217
- Phone
- 732-895-7009
- Fax
- 732-787-3268
- Last updated
- January 19, 2008
Susan Wildermann is a Counselor, Professional based in Belford, NJ. Susan Wildermann practices in Belford, NJ and has the professional credentials of MA, PD(MFT), LPC. The NPI Number for Susan Wildermann is 1083890123 and holds a License No. 37PC00357000 (NJ). The current practice location address for Susan Wildermann is 512 Clinton Ave, Belford, NJ 07718-1217 and can be reached out via phone at 732-895-7009 and via fax at 732-787-3268.
Provider Profile Details
- NPI Number
- 1083890123
- Provider Name
- Susan Wildermann
- Credential
- MA, PD(MFT), LPC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 512 Clinton Ave, Belford, NJ 07718-1217
- Phone Number
- 732-895-7009
- Fax Number
- 732-787-3268
- Primary Taxonomy
- Counselor, Professional · 101YP2500X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 19, 2008
- Last Update Date
- January 19, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 512 Clinton Ave
Belford, NJ 07718-1217 - City
- Belford
- State
- New Jersey
- Zip
- 07718-1217
- Phone Number
- 732-895-7009
- Fax Number
- 732-787-3268
Provider Business Mailing Address Details
- Address
- 512 Clinton Ave
Belford, NJ 07718-1217 - City
- Belford
- State
- NJ
- Zip
- 07718-1217
- Phone Number
- 732-895-7009
- Fax Number
- 732-787-3268
License Information
- License Number
- 37PC00357000
- License State
- NJ
- Taxonomy
- Counselor, Professional · 101YP2500X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Susan Wildermann, MA, PD(MFT), LPC?
The NPI number of Susan Wildermann, MA, PD(MFT), LPC is 1083890123. It was assigned on January 19, 2008 and is currently active in the NPPES registry.
What is the specialty of Susan Wildermann, MA, PD(MFT), LPC?
Susan Wildermann, MA, PD(MFT), LPC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in NJ under license number 37PC00357000.
Where does Susan Wildermann, MA, PD(MFT), LPC practice?
The practice location is 512 Clinton Ave, Belford, NJ 07718-1217. The office can be reached at 732-895-7009 (phone) or 732-787-3268 (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 1083890123 directly on the NPPES registry website.