Individual
DR. MARYLOU VANDENBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
2713 RT 23 S, SUITE 8A, NEWFOUNDLAND, NJ 07435-0547
(973) 208-1800
Mailing address
PO BOX 547, 2713 RT 23 SUITE 8A, NEWFOUNDLAND, NJ 07435-0547
(973) 208-1800
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35SI00270000
NJ
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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