Individual
MR. DAVID CANCELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
236 GLEN AVE, MILLBURN, NJ 07041-1620
(973) 379-4370
Mailing address
236 GLEN AVE, MILLBURN, NJ 07041-1620
(973) 379-4370
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
686
NJ
Other
Enumeration date
03/04/2007
Last updated
07/09/2007
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