Individual
AUDREY LUBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
551 VALLEY RD # 189, MONTCLAIR, NJ 07043-1832
(929) 324-7342
Mailing address
480 VALLEY RD APT C2, MONTCLAIR, NJ 07043-1872
(929) 324-7342
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
022056
NY
Other
Enumeration date
06/20/2019
Last updated
08/29/2020
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