Doctor Name: | DR. EILEEN D. WOLPE |
NPI Number: | 1285774471 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 1648 |
Business Practice Address: | 2 Park Ave Vantage Health System Dumont, NJ - 076283004 |
Business Phone Number: | 2013854400 |
Business Fax Number: | 2013859689 |
Mailing Address: | 5 Horizon Rd, #2705 FORT LEE |
State: | NJ |
Postal Code: | 070246651 |
Phone Number: | 2012242452 |
Fax Number: | |
NPI Enumeration Date: | 02/07/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 1648 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |