Individual
DR. LESLIE J NEWPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
85 RARITAN AVE STE 420, HIGHLAND PARK, NJ 08904-2439
(732) 524-8600
(646) 583-8600
Mailing address
832 WILLIAM DR, BRIELLE, NJ 08730-1738
(732) 524-8600
(646) 583-8600
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-13-13764
NJ
103TC0700X
Clinical Psychologist
Primary
35SI00305600
NJ
Other
Enumeration date
08/08/2016
Last updated
08/08/2016
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