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Organization

MARVIN LEIBOWITZ PH.D. LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARVIN LEIBOWITZ PH.D. (MANAGING PARTNER)
(201) 445-6378
Entity
Organization

Contact information

Practice address
61 N MAPLE AVE, SUITE 103, RIDGEWOOD, NJ 07450-3255
(201) 445-6378
Mailing address
61 N MAPLE AVE, SUITE 103, RIDGEWOOD, NJ 07450-3255

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35S100088200
NJ

Other

Enumeration date
12/21/2012
Last updated
12/21/2012
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