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Individual

DR. DIANA V. DEVITO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
1250 ROUTE 23 N, SUITE 5, BUTLER, NJ 07405-2002
(973) 492-8700
(973) 492-7670
Mailing address
1250 ROUTE 23 N, SUITE 5, BUTLER, NJ 07405-2002
(973) 492-8700
(973) 492-7670

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35S100179100
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
105666
MHN
NJ
01
6800451
GHI
NJ
01
IS132
OXFORD
NJ
Enumeration date
07/31/2006
Last updated
07/08/2007
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