Individual
MARCIA N BARUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1060 WALDORF TER, LAKEWOOD, NJ 08701-5546
(800) 275-3243
Mailing address
1060 WALDORF TER, LAKEWOOD, NJ 08701-5546
(800) 275-3243
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35SI00426400
NJ
Other
Enumeration date
12/13/2011
Last updated
12/13/2011
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