Individual
DR. WENDY F AITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1474 TANYARD ROAD, SUITE C100, SEWELL, NJ 08080
(856) 932-7476
(856) 566-6320
Mailing address
2250 CHAPEL AVE W STE 100, CHERRY HILL, NJ 08002-2051
(856) 482-9000
(856) 482-1159
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35SI00306900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
462358
MEDICARE
NJ
05
—
5532001
—
NJ
Enumeration date
10/09/2007
Last updated
09/10/2024
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