Agnes Douma

Speech-Language Pathologist · Wantage, NJ

Individual Active NPI

NPI number 1568995736

Practice location

70 Coykendall Rd
Wantage, NJ 07461-3012
Phone
(973) 886-4252

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NPI record

NPI
1568995736
Entity type
Individual (Type 1)
Enumeration date
April 5, 2017
Last updated
April 5, 2017
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X 41YS00227500 NJ

About Agnes Douma

Agnes Douma is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 70 Coykendall Rd, Wantage, NJ 07461-3012. The NPI number 1568995736 was assigned on April 5, 2017 and the record was last updated on April 5, 2017.

Agnes Douma lists a license in the registry: #41YS00227500 (NJ) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Agnes Douma?

The NPI number is 1568995736.

What is the phone number of Agnes Douma?

The phone number listed for the practice location is (973) 886-4252.

Where is Agnes Douma located?

70 Coykendall Rd, Wantage, NJ 07461-3012.

What is the taxonomy code for Agnes Douma?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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