Individual
DR. DEREK P AITA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
10 E MOUNT VERNON AVE, HADDONFIELD, NJ 08033-2325
(856) 795-3598
(856) 795-3948
Mailing address
585 MCKENDIMEN RD, MEDFORD, NJ 08055-9774
(609) 268-7945
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35SI00307900
NJ
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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