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
Phone: (732) 202-5406
Fax: (732) 543-0602
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | ||
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | New Jersey | |
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | New Jersey | |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | New Jersey | |
| Behavioral Health & Social Service Providers / School | 101YS0200X | New Jersey |
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 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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