Individual
JAMES ROBERT DERIEUX V
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
190 ROUTE 18 STE 203, EAST BRUNSWICK, NJ 08816-1407
(732) 994-3456
Mailing address
190 ROUTE 18 STE 203, EAST BRUNSWICK, NJ 08816-1407
(732) 994-3456
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
TP223-032
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/19/2021
Last updated
05/03/2023
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