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Individual

DAVID J LIBON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
42 E LAUREL RD STE 1800-A, STRATFORD, NJ 08084-1354
(856) 566-6843
(856) 566-6419
Mailing address
42 E LAUREL RD STE 1800-A, STRATFORD, NJ 08084-1354
(856) 566-6843
(856) 566-6419

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
35SI00271600
NJ
103T00000X
Psychologist
SI00271600
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8958904
NJ
Enumeration date
01/20/2006
Last updated
03/14/2024
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