Active NPIIndividual provider

Denise Wallack, PSYD

Psychologist, Cognitive & Behavioral in Kearny, New Jersey

NPI Number1326401969
Practice location
470 Forest St, Unit 2, Kearny, NJ 07032-3582
Fax
—
Last updated
March 31, 2016

Denise Wallack is a Psychologist, Cognitive & Behavioral based in Kearny, NJ. Denise Wallack practices in Kearny, NJ and has the professional credentials of PSYD. The NPI Number for Denise Wallack is 1326401969 and holds a License No. 35SI00558100 (NJ). The current practice location address for Denise Wallack is 470 Forest St, Unit 2, Kearny, NJ 07032-3582 and can be reached out via phone at 973-715-7593.

Provider Profile Details

NPI Number
1326401969
Provider Name
Denise Wallack
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
470 Forest St, Unit 2, Kearny, NJ 07032-3582
Phone Number
973-715-7593
Primary Taxonomy
Psychologist, Cognitive & Behavioral · 103TB0200X
Sole Proprietor
No
Provider Enumeration Date
March 31, 2016
Last Update Date
March 31, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
470 Forest St
Unit 2
Kearny, NJ 07032-3582
City
Kearny
Zip
07032-3582
Phone Number
973-715-7593
Kearny, NJ 07032Get directions →

Provider Business Mailing Address Details

Address
470 Forest St
Unit 2
Kearny, NJ 07032-3582
City
Kearny
State
NJ
Zip
07032-3582
Phone Number
973-715-7593

License Information

License Number
35SI00558100
License State
NJ
Taxonomy
Psychologist, Cognitive & Behavioral · 103TB0200X · Primary

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 Denise Wallack, PSYD?

The NPI number of Denise Wallack, PSYD is 1326401969. It was assigned on March 31, 2016 and is currently active in the NPPES registry.

What is the specialty of Denise Wallack, PSYD?

Denise Wallack, PSYD is registered under the primary taxonomy Psychologist, Cognitive & Behavioral (code 103TB0200X), licensed in NJ under license number 35SI00558100.

Where does Denise Wallack, PSYD practice?

The practice location is 470 Forest St, Unit 2, Kearny, NJ 07032-3582. The office can be reached at 973-715-7593 (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 1326401969 directly on the NPPES registry website.

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