Individual
LOREN ANN FIRSTENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
1205 N CHURCH ST, MOORESTOWN, NJ 08057-1198
(856) 778-0600
(856) 778-4544
Mailing address
37 PICADILLY CIR, MARLTON, NJ 08053-4235
(856) 296-5646
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35S100415500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0052906
—
NJ
Enumeration date
04/04/2007
Last updated
07/08/2007
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