Agnes Douma
Speech-Language Pathologist, in Wantage, New Jersey
1568995736- Practice location
- 70 Coykendall RD, Wantage, NJ 07461-3012
- Phone
- 973-886-4252
- Fax
- —
- Last updated
- April 5, 2017
Agnes Douma is a Speech-Language Pathologist, based in Wantage, NJ. Agnes Douma practices in Wantage, NJ. The NPI Number for Agnes Douma is 1568995736 and holds a License No. 41YS00227500 (NJ). The current practice location address for Agnes Douma is 70 Coykendall RD, Wantage, NJ 07461-3012 and can be reached out via phone at 973-886-4252.
Provider Profile Details
- NPI Number
- 1568995736
- Provider Name
- Agnes Douma
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 70 Coykendall RD, Wantage, NJ 07461-3012
- Phone Number
- 973-886-4252
- Primary Taxonomy
- Speech-Language Pathologist, · 235Z00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 5, 2017
- Last Update Date
- April 5, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 70 Coykendall RD
Wantage, NJ 07461-3012 - City
- Wantage
- State
- New Jersey
- Zip
- 07461-3012
- Phone Number
- 973-886-4252
Provider Business Mailing Address Details
- Address
- 70 Coykendall RD
Wantage, NJ 07461-3012 - City
- Wantage
- State
- NJ
- Zip
- 07461-3012
- Phone Number
- 973-886-4252
License Information
- License Number
- 41YS00227500
- License State
- NJ
- Taxonomy
- Speech-Language Pathologist, · 235Z00000X · 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 Agnes Douma?
The NPI number of Agnes Douma is 1568995736. It was assigned on April 5, 2017 and is currently active in the NPPES registry.
What is the specialty of Agnes Douma?
Agnes Douma is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NJ under license number 41YS00227500.
Where does Agnes Douma practice?
The practice location is 70 Coykendall RD, Wantage, NJ 07461-3012. The office can be reached at 973-886-4252 (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 1568995736 directly on the NPPES registry website.