Individual
DR. SUSAN WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1101 N KINGS HWY, SUITE 304, CHERRY HILL, NJ 08034-1912
(856) 482-7023
Mailing address
405 GARDEN STATE DR, CHERRY HILL, NJ 08002-1915
(856) 482-7023
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
03585
NJ
103TC1900X
Counseling Psychologist
PS-006490-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
133
PBH
NJ
01
—
153300
MHN
NJ
Enumeration date
08/26/2005
Last updated
11/16/2011
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