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Individual

DR. EWA LAVIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
675 MORRIS AVE STE 202, SPRINGFIELD, NJ 07081-1523
(973) 467-9409
Mailing address
371 WALNUT AVE, CRANFORD, NJ 07016-2967
(908) 397-6675

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
5839
NJ
103TB0200X
Cognitive & Behavioral Psychologist
5839
NJ
103TC0700X
Clinical Psychologist
Primary
5839
NJ
103TC2200X
Clinical Child & Adolescent Psychologist
5839
NJ
103TS0200X
School Psychologist
5839
NJ

Other

Enumeration date
11/28/2017
Last updated
11/28/2017
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