Organization
MID-ATLANTIC MENTAL HEALTH & WELLNESS SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IDA C DELIBERIS PSY.D. (LICENSED PSYCHOLOGIST/OWNER)
(609) 805-1901
Entity
Organization
Contact information
Practice address
140 S BROADWAY, #7, PITMAN, NJ 08071-2235
(844) 365-7676
Mailing address
140 S BROADWAY, #7, PITMAN, NJ 08071-2235
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5677
NJ
Other
Enumeration date
12/27/2016
Last updated
12/27/2016
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