Individual
WENDY DIANE WILSON-POTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
111 ALLEN ST, NETCONG, NJ 07857-1222
(973) 527-4464
Mailing address
111 ALLEN ST, NETCONG, NJ 07857-1222
(973) 527-4464
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
38218
TX
103TC0700X
Clinical Psychologist
TP: 153-017
NJ
Other
Enumeration date
03/30/2017
Last updated
12/10/2019
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