| Dbt Of South Jersey, Llc | |
|
105 Evesboro Medford Rd Ste M Marlton NJ 08053-3865 | |
| (609) 353-5608 | |
| Not Available |
| Full Name | Dbt Of South Jersey, Llc |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 105 Evesboro Medford Rd Ste M, Marlton, New Jersey |
| Authorized Official Name and Position | Shaelene R Lauriano (OWNER) |
| Authorized Official Contact | 6094189141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dbt Of South Jersey, Llc 309 Mount Vernon Ave Laurel Springs NJ 08021-2034 Ph: (609) 418-9141 | Dbt Of South Jersey, Llc 105 Evesboro Medford Rd Ste M Marlton NJ 08053-3865 Ph: (609) 353-5608 |
| NPI Number | 1740789866 |
|---|---|
| Provider Enumeration Date | 02/04/2018 |
| Last Update Date | 06/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740789866 | NPI | - | NPPES |
| 1770904112 | Other | NJ | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (New Jersey) | Primary |
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