Active NPIIndividual providerSole proprietor

Wendy D Wilson-Poth, PHD

Psychologist, Clinical in Netcong, New Jersey

NPI Number1912439738
Practice location
111 Allen St, Netcong, NJ 07857-1222
Fax
—
Last updated
December 10, 2019

Wendy Diane Wilson-Poth is a Psychologist, Clinical based in Netcong, NJ. Wendy Diane Wilson-Poth practices in Netcong, NJ and has the professional credentials of PHD. The NPI Number for Wendy Diane Wilson-Poth is 1912439738 and holds a License No. TP: 153-017 (NJ). The current practice location address for Wendy Diane Wilson-Poth is 111 Allen St, Netcong, NJ 07857-1222 and can be reached out via phone at 973-527-4464.

Provider Profile Details

NPI Number
1912439738
Provider Name
Wendy Diane Wilson-Poth
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
111 Allen St, Netcong, NJ 07857-1222
Phone Number
973-527-4464
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Other Names
-- Wendy Diane Wilson, PHD (Former Name)
Provider Enumeration Date
March 30, 2017
Last Update Date
December 10, 2019
Certification Date
December 10, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
111 Allen St
Netcong, NJ 07857-1222
Zip
07857-1222
Phone Number
973-527-4464
Netcong, NJ 07857Get directions →

Provider Business Mailing Address Details

Address
111 Allen St
Netcong, NJ 07857-1222
City
Netcong
State
NJ
Zip
07857-1222
Phone Number
973-527-4464

License Information

License Number (1)
TP: 153-017
License State (1)
NJ
Taxonomy (1)
Psychologist, Clinical · 103TC0700X
License Number (2)
38218
License State (2)
TX
Taxonomy (2)
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 Wendy D Wilson-Poth, PHD?

The NPI number of Wendy D Wilson-Poth, PHD is 1912439738. It was assigned on March 30, 2017 and is currently active in the NPPES registry.

What is the specialty of Wendy D Wilson-Poth, PHD?

Wendy D Wilson-Poth, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in NJ under license number TP: 153-017.

Where does Wendy D Wilson-Poth, PHD practice?

The practice location is 111 Allen St, Netcong, NJ 07857-1222. The office can be reached at 973-527-4464 (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 1912439738 directly on the NPPES registry website.

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