Active NPIIndividual providerSole proprietor

Dr. Jonathan D Wall, PSYD

Psychologist in Clinton, New Jersey

NPI Number1366463143
Practice location
27 Center St, Clinton, NJ 08809-1340
Fax
908-735-6871
Last updated
July 8, 2007

Jonathan David Wall is a Psychologist based in Clinton, NJ. Jonathan David Wall practices in Clinton, NJ and has the professional credentials of PSYD. The NPI Number for Jonathan David Wall is 1366463143 and holds a License No. 35S100364200 (NJ). The current practice location address for Jonathan David Wall is 27 Center St, Clinton, NJ 08809-1340 and can be reached out via phone at 908-295-1890 and via fax at 908-735-6871.

Provider Profile Details

NPI Number
1366463143
Provider Name
Jonathan David Wall
Credential
PSYD
Provider Entity Type
Individual
Gender
Male
Address
27 Center St, Clinton, NJ 08809-1340
Phone Number
908-295-1890
Fax Number
908-735-6871
Primary Taxonomy
Psychologist · 103T00000X
Sole Proprietor
Yes
Provider Enumeration Date
July 21, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
27 Center St
Clinton, NJ 08809-1340
Zip
08809-1340
Phone Number
908-295-1890
Fax Number
908-735-6871
Clinton, NJ 08809Get directions →

Provider Business Mailing Address Details

Address
27 Center St
Clinton, NJ 08809-1340
City
Clinton
State
NJ
Zip
08809-1340
Phone Number
908-295-1890
Fax Number
908-735-6871

License Information

License Number
35S100364200
License State
NJ
Taxonomy
Psychologist · 103T00000X · 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 Dr. Jonathan D Wall, PSYD?

The NPI number of Dr. Jonathan D Wall, PSYD is 1366463143. It was assigned on July 21, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Jonathan D Wall, PSYD?

Dr. Jonathan D Wall, PSYD is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in NJ under license number 35S100364200.

Where does Dr. Jonathan D Wall, PSYD practice?

The practice location is 27 Center St, Clinton, NJ 08809-1340. The office can be reached at 908-295-1890 (phone) or 908-735-6871 (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 1366463143 directly on the NPPES registry website.

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