Individual
LAWRENCE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
404 HARRISON ST, PALMYRA, NJ 08065-2018
(856) 303-1313
Mailing address
404 HARRISON ST, PALMYRA, NJ 08065-2018
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
26NO11568300
NJ
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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