Quezada, Wanda Y

Quezada, Wanda Y is an individual health care provider with primary practice located at 322 Livingston Ave , New Brunswick NJ 08901. She recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Quezada, Wanda Y can be contacted via phone (732) 202-5406.

Contact Information

Primary practice address
322 Livingston Ave New Brunswick NJ 08901
Fax: (732) 543-0602
Website:

Profile Details

NPI number 1528448321
LBN Legal business name Quezada, Wanda Y
Credentials ED. D
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2015
Last updated Feb 7th, 2024 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528448321 NPPES
New Jersey Other 937923 BCBSNJ
New Jersey Other LPCC15042 BCBSNJ
New Jersey Other PC015328 BCBSNJ
New Jersey Other TPMC3811 BCBSNJ
New Jersey Other 601288646 BCBSNJ

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