| NPI | 1679807531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLA WAX DEIBLER Director 856-220-9672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00438000) |
| Enumeration Date | 2009-09-25 |
| Last Update Date | 2024-05-31 |