Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DENISE WALLACK, PSY.D.
ActiveCognitive & Behavioral Psychologist · KEARNY, NJ
Registration Details
- NPI Number
- 1326401969
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 31, 2016 (10.10302214431 yrs)
- Last Updated
- Mar 31, 2016
- License
-
35SI00558100 (NJ)
Practice Information
- Address
-
470 FOREST STUNIT 2KEARNY, NJ, 070323582Browse NJ providers · Browse ZIP 07032
- Phone
- 9737157593
- Primary Specialty
-
Cognitive & Behavioral Psychologist
103TB0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.