Individual
DR. DAVID LEIBOVITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2250 CHAPEL AVE W, SUITE 100, CHERRY HILL, NJ 08002-2051
(856) 482-9000
(856) 482-1159
Mailing address
2250 CHAPEL AVE W, SUITE 100, CHERRY HILL, NJ 08002-2051
(856) 482-9000
(856) 482-1159
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35SI00479300
NJ
103TC0700X
Clinical Psychologist
B1-0000837
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0244627
—
NJ
Enumeration date
08/03/2010
Last updated
08/13/2012
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