SearchNew Jersey1041C0700X

Peggy Waller, LCSW, LCADC

NPI 1821369562 · on the registry since 2012

Practice

Address
80 W Main St
Mendham, NJ 07945
Phone
(973) 543-5656
Fax
(973) 543-1361
Organisation at this address
Daytop Village Of Nj
Daytop Village Of Nj, Inc.
Daytop Village Of New Jersey, Inc.
Daytop Village Of New Jersey, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
77

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
101YA0400X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-01-25

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