Agnes Douma, - Speech-Language Pathologist in Wantage, NJ

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Agnes Douma, is a Speech-language Pathologist based in Wantage, New Jersey. Agnes Douma is licensed to practice in New Jersey (license number 41YS00227500) and her current practice location is 70 Coykendall Rd, Wantage, New Jersey. She can be reached at her office (for appointments etc.) via phone at (973) 886-4252.

NPI number for Agnes Douma is 1568995736 and her current mailing address is 70 Coykendall Rd, Wantage, New Jersey. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1568995736.

Contact Information

Agnes Douma,
70 Coykendall Rd,
Wantage, NJ 07461-3012
(973) 886-4252
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameAgnes Douma
GenderFemale
SpecialitySpeech-language Pathologist
Location70 Coykendall Rd, Wantage, New Jersey
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1568995736
  • Provider Enumeration Date: 04/05/2017
  • Last Update Date: 04/05/2017

Medical Identifiers

Medical identifiers for Agnes Douma such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568995736NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist 41YS00227500 (New Jersey)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Agnes Douma is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Agnes Douma,
70 Coykendall Rd,
Wantage, NJ 07461-3012

Ph: (973) 886-4252		Agnes Douma,
70 Coykendall Rd,
Wantage, NJ 07461-3012

Ph: (973) 886-4252

Reviews and Comments


Speech-Language Pathologist in Wantage, NJ


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