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Jonathan Wall, PSY.D
NPI 1366463143 · on the registry since 2006 · sole proprietor
Practice
- Address
- 27 Center St
Clinton, NJ 08809 - Phone
- (908) 295-1890
- Fax
- (908) 735-6871
- Organisation at this address
- Gwen Blake Counseling, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Psychologist
103T00000X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey