Dr. Amira P Wallach, PHD
Psychologist, Clinical in Glen Rock, New Jersey
1417004631- Practice location
- 40 S Highwood Ave, Glen Rock, NJ 07452-1402
- Phone
- 201-652-6067
- Fax
- —
- Last updated
- July 15, 2020
Amira Paris Wallach is a Psychologist, Clinical based in Glen Rock, NJ. Amira Paris Wallach practices in Glen Rock, NJ and has the professional credentials of PHD. The NPI Number for Amira Paris Wallach is 1417004631 and holds a License No. SIO1674 (NJ). The current practice location address for Amira Paris Wallach is 40 S Highwood Ave, Glen Rock, NJ 07452-1402 and can be reached out via phone at 201-652-6067.
Provider Profile Details
- NPI Number
- 1417004631
- Provider Name
- Amira Paris Wallach
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 40 S Highwood Ave, Glen Rock, NJ 07452-1402
- Phone Number
- 201-652-6067
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 3, 2007
- Last Update Date
- July 15, 2020
- Certification Date
- July 15, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 40 S Highwood Ave
Glen Rock, NJ 07452-1402 - City
- Glen Rock
- State
- New Jersey
- Zip
- 07452-1402
- Phone Number
- 201-652-6067
Provider Business Mailing Address Details
- Address
- 40 S Highwood Ave
Glen Rock, NJ 07452-1402 - City
- Glen Rock
- State
- NJ
- Zip
- 07452-1402
- Phone Number
- 201-652-6067
License Information
- License Number (1)
- SIO1674
- License State (1)
- NJ
- Taxonomy (1)
- Psychologist, Clinical · 103TC0700X
- License Number (2)
- 35SI00167400
- License State (2)
- NJ
- Taxonomy (2)
- Psychologist, Clinical · 103TC0700X · 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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- Dr. Renan U Erkut-Petermann, PHDPsychologist, Clinical · NPI 1750429817
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Frequently Asked Questions
What is the NPI number of Dr. Amira P Wallach, PHD?
The NPI number of Dr. Amira P Wallach, PHD is 1417004631. It was assigned on January 3, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Amira P Wallach, PHD?
Dr. Amira P Wallach, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in NJ under license number SIO1674.
Where does Dr. Amira P Wallach, PHD practice?
The practice location is 40 S Highwood Ave, Glen Rock, NJ 07452-1402. The office can be reached at 201-652-6067 (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 1417004631 directly on the NPPES registry website.