Individual
DANIEL JOSEPH POTOCZNIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1985 STATE ROUTE 34 STE A3, WALL TOWNSHIP, NJ 07719-9101
(215) 384-8624
Mailing address
404 GRASSMERE AVE, INTERLAKEN, NJ 07712-4313
(215) 817-8738
(215) 554-6966
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35SI00594800
NJ
103T00000X
Psychologist
PS016537
PA
Other
Enumeration date
01/02/2009
Last updated
11/29/2022
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