| Doctor Name: | DR. WENDY F AITA |
| NPI Number: | 1023206653 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD |
| License Number: | 35SI00306900 |
| Business Practice Address: | 109 E Laurel Rd 1st Floor Stratford, NJ - 080841324 |
| Business Phone Number: | 8565666034 |
| Business Fax Number: | 8565666208 |
| Mailing Address: | 109 E Laurel Rd, 1st Floor STRATFORD |
| State: | NJ |
| Postal Code: | 080841324 |
| Phone Number: | 8565666034 |
| Fax Number: | 8565666208 |
| NPI Enumeration Date: | 10/09/2007 |
| NPI Last Update Date: | 11/03/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 35SI00306900 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |