Marvin Leibowitz Ph.d. Llc | |
61 N Maple Ave Suite 103 Ridgewood NJ 07450-3255 | |
(201) 445-6378 | |
Not Available |
Full Name | Marvin Leibowitz Ph.d. Llc |
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Speciality | Psychologist - Clinical |
Location | 61 N Maple Ave, Ridgewood, New Jersey |
Authorized Official Name and Position | Marvin Leibowitz (MANAGING PARTNER) |
Authorized Official Contact | 2014456378 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Marvin Leibowitz Ph.d. Llc 61 N Maple Ave Suite 103 Ridgewood NJ 07450-3255 Ph: () - | Marvin Leibowitz Ph.d. Llc 61 N Maple Ave Suite 103 Ridgewood NJ 07450-3255 Ph: (201) 445-6378 |
NPI Number | 1578809448 |
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Provider Enumeration Date | 12/21/2012 |
Last Update Date | 12/21/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578809448 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 35S100088200 (New Jersey) | Primary |
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