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Individual

DR. MARIA LAPORTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD, BCB, NCSP

Contact information

Practice address
75 N MAPLE AVE STE 101B, RIDGEWOOD, NJ 07450-3261
(551) 250-1017
Mailing address
75 N MAPLE AVE STE 101B, RIDGEWOOD, NJ 07450-3261
(551) 250-1017

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
35S100622400
NJ
103T00000X
Psychologist
Primary
35S100622400
NJ

Other

Enumeration date
02/05/2020
Last updated
06/05/2020
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