Individual
DR. DAVID M MAHALICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2066 MILLBURN AVE, SUITE 201, MAPLEWOOD, NJ 07040-3727
(908) 832-6629
(973) 313-1666
Mailing address
2066 MILLBURN AVE, SUITE 201, MAPLEWOOD, NJ 07040-3727
(973) 313-9393
(973) 313-1666
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
013948DUP
NY
103G00000X
Clinical Neuropsychologist
Primary
2582
NJ
Other
Enumeration date
05/14/2007
Last updated
10/06/2014
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