Provider Demographics
NPI:1144984691
Name:WOSZCZAK, NATALIE S (PYSD)
Entity type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:S
Last Name:WOSZCZAK
Suffix:
Gender:F
Credentials:PYSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2905 HARRISON ST
Mailing Address - Street 2:
Mailing Address - City:WALL TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:07719-4213
Mailing Address - Country:US
Mailing Address - Phone:732-927-3225
Mailing Address - Fax:
Practice Address - Street 1:2905 HARRISON ST
Practice Address - Street 2:
Practice Address - City:WALL TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:07719-4213
Practice Address - Country:US
Practice Address - Phone:732-927-1862
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-29
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ103TB0200X
NJ35SI00656500103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral