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Individual

DANIELLE NICOLE AGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
3900 CHURCH RD, MOUNT LAUREL, NJ 08054
(800) 774-5516
(856) 429-4755
Mailing address
1255 CALDWELL RD, CHERRY HILL, NJ 08034-3220
(800) 774-5516
(856) 429-4755

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
04926
MD
103G00000X
Clinical Neuropsychologist
Primary
35SI00504200
NJ
103G00000X
Clinical Neuropsychologist
PS017122
PA

Other

Enumeration date
12/03/2011
Last updated
10/08/2018
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