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NPI 1689475139

NPI 1689475139 : WAYPOINT PSYCHOLOGICAL SERVICES : WALDWICK, NJ

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General NPI Number Information
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    NPI Number           |    1689475139
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    Entity Type          |    Organization 
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    Legal Business Name  |    WAYPOINT PSYCHOLOGICAL SERVICES 
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Dates
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    Enumeration Date     |    03/21/2025
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    Last Update Date     |    09/05/2025
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Provider Practice Location Address
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    Address Line         |    71 FRANKLIN TPKE STE 2-8 
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    City                 |    WALDWICK
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    State                |    NJ
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    Zip                  |    07463-1800
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    Country              |    US
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    Telephone            |    201-427-0720
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    71 FRANKLIN TPKE STE 2-8 
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    City                 |    WALDWICK
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    State                |    NJ
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    Zip                  |    07463-1800
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    Country              |    US
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    Telephone            |    201-427-0720
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    Fax                  |    
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Authorized Official
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    Title or Position    |    DIRECTOR
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    Name                 |    DR. KRISTINA  VANDE VREDE 
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    Credential           |    PSYD
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    Telephone            |    201-427-0720
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    
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    License Number State |    
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