Individual
DR. LORI ANN MAGDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2 BROAD ST STE 7, BLOOMFIELD, NJ 07003-2549
(973) 748-0980
Mailing address
2 BROAD ST STE 7, BLOOMFIELD, NJ 07003-2549
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35SI00618300
NJ
Other
Enumeration date
11/14/2019
Last updated
11/14/2019
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