Daniel J Potoczniak, PHD
Psychologist in Wall Township, New Jersey
1700022399- Practice location
- 1985 State Route 34 Ste A3, Wall Township, NJ 07719-9101
- Phone
- 215-384-8624
- Fax
- —
- Last updated
- November 29, 2022
Daniel Joseph Potoczniak is a Psychologist based in Wall Township, NJ. Daniel Joseph Potoczniak practices in Wall Township, NJ and has the professional credentials of PHD. The NPI Number for Daniel Joseph Potoczniak is 1700022399 and holds a License No. PS016537 (PA). The current practice location address for Daniel Joseph Potoczniak is 1985 State Route 34 Ste A3, Wall Township, NJ 07719-9101 and can be reached out via phone at 215-384-8624.
Provider Profile Details
- NPI Number
- 1700022399
- Provider Name
- Daniel Joseph Potoczniak
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1985 State Route 34 Ste A3, Wall Township, NJ 07719-9101
- Phone Number
- 215-384-8624
- Primary Taxonomy
- Psychologist · 103T00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 2, 2009
- Last Update Date
- November 29, 2022
- Certification Date
- November 29, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1985 State Route 34 Ste A3
Wall Township, NJ 07719-9101 - City
- Wall Township
- State
- New Jersey
- Zip
- 07719-9101
- Phone Number
- 215-384-8624
Provider Business Mailing Address Details
- Address
- 404 Grassmere Ave
Interlaken, NJ 07712-4313 - City
- Interlaken
- State
- NJ
- Zip
- 07712-4313
- Phone Number
- 215-817-8738
- Fax Number
- 215-554-6966
License Information
- License Number (1)
- PS016537
- License State (1)
- PA
- Taxonomy (1)
- Psychologist · 103T00000X
- License Number (2)
- 35SI00594800
- License State (2)
- NJ
- Taxonomy (2)
- Psychologist · 103T00000X · 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 Daniel J Potoczniak, PHD?
The NPI number of Daniel J Potoczniak, PHD is 1700022399. It was assigned on January 2, 2009 and is currently active in the NPPES registry.
What is the specialty of Daniel J Potoczniak, PHD?
Daniel J Potoczniak, PHD is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in PA under license number PS016537.
Where does Daniel J Potoczniak, PHD practice?
The practice location is 1985 State Route 34 Ste A3, Wall Township, NJ 07719-9101. The office can be reached at 215-384-8624 (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 1700022399 directly on the NPPES registry website.