Healthcare Provider Details

I. General information

NPI: 1508660218
Provider Name (Legal Business Name): DR. RICHARD WERTZ
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2025
Last Update Date: 01/13/2026
Certification Date: 01/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

AB AL QASR CANAL VIEW RESIDENCE 22
ABU DHABI UAE
7639376
AE

IV. Provider business mailing address

AB AL QASR CANAL VIEW RESIDENCE 22
ABU DHABI UAE
976254
AE

V. Phone/Fax

Practice location:
  • Phone:
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code103TF0200X
TaxonomyForensic Psychologist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: