Individual
DR. JOHN H DIEPOLD JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
703 E MAIN ST, VICTORIA MEDICAL ARTS, EAST BLDG., 2ND FLOOR, MOORESTOWN, NJ 08057-3082
(856) 778-9300
Mailing address
703 E MAIN ST, VICTORIA MEDICAL ARTS, EAST BLDG., 2ND FLOOR, MOORESTOWN, NJ 08057-3082
(856) 778-9300
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35S100152300
NJ
Other
Enumeration date
01/12/2007
Last updated
07/08/2007
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