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Individual

DR. LARISSA ELIZABETH LABAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
615 FRANKLIN TPKE, SUITE 1, RIDGEWOOD, NJ 07450-1903
(201) 444-0090
Mailing address
615 FRANKLIN TPKE, SUITE 1, RIDGEWOOD, NJ 07450-1903
(201) 444-0090

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4143
NJ

Other

Enumeration date
03/20/2007
Last updated
07/08/2007
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