Individual
DR. AVIVAH DAHBANY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
223 STATE ROUTE 18, SUITE 102, EAST BRUNSWICK, NJ 08816-1913
(732) 940-6816
(732) 940-6816
Mailing address
223 STATE ROUTE 18, SUITE 102, EAST BRUNSWICK, NJ 08816-1913
(732) 940-6816
(732) 940-6816
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
SI03730
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SI03730
LICENSED PSYCHOLOGIST
NJ
Enumeration date
12/27/2006
Last updated
07/24/2007
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