Individual
DR. DANIELLE LAVELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
12 VICTORIA CT, CREAM RIDGE, NJ 08514-1527
(732) 796-3729
Mailing address
12 VICTORIA CT, CREAM RIDGE, NJ 08514-1527
(732) 796-3729
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4268
NJ
Other
Enumeration date
11/06/2006
Last updated
03/01/2018
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