Active NPIIndividual provider

Dr. Wanda R Costanzo, PHD

Psychologist, Clinical in Haddonfield, New Jersey

NPI Number1851429328
Practice location
49 Grove Street, Suite C, Haddonfield, NJ 08033-1232
Fax
856-428-9185
Last updated
July 8, 2007

Wanda Rose Costanzo is a Psychologist, Clinical based in Haddonfield, NJ. Wanda Rose Costanzo practices in Haddonfield, NJ and has the professional credentials of PHD. The NPI Number for Wanda Rose Costanzo is 1851429328 and holds a License No. 35si00138100 (NJ). The current practice location address for Wanda Rose Costanzo is 49 Grove Street, Suite C, Haddonfield, NJ 08033-1232 and can be reached out via phone at 856-428-6640 and via fax at 856-428-9185.

Provider Profile Details

NPI Number
1851429328
Provider Name
Wanda Rose Costanzo
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
49 Grove Street, Suite C, Haddonfield, NJ 08033-1232
Phone Number
856-428-6640
Fax Number
856-428-9185
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
No
Other Names
Dr. Wandz Costanzo, PHD (Professional Name)
Provider Enumeration Date
February 28, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
49 Grove Street
Suite C
Haddonfield, NJ 08033-1232
Zip
08033-1232
Phone Number
856-428-6640
Fax Number
856-428-9185
Haddonfield, NJ 08033Get directions →

Provider Business Mailing Address Details

Address
49 Grove Street
Suite C
Haddonfield, NJ 08033-1232
City
Haddonfield
State
NJ
Zip
08033-1232
Phone Number
856-428-6640
Fax Number
856-428-9185

License Information

License Number
35si00138100
License State
NJ
Taxonomy
Psychologist, Clinical · 103TC0700X · 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. Wanda R Costanzo, PHD?

The NPI number of Dr. Wanda R Costanzo, PHD is 1851429328. It was assigned on February 28, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Wanda R Costanzo, PHD?

Dr. Wanda R Costanzo, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in NJ under license number 35si00138100.

Where does Dr. Wanda R Costanzo, PHD practice?

The practice location is 49 Grove Street, Suite C, Haddonfield, NJ 08033-1232. The office can be reached at 856-428-6640 (phone) or 856-428-9185 (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 1851429328 directly on the NPPES registry website.

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