Phillip, Dvora

Phillip, Dvora is an individual health care provider with primary practice located at 22 Baila Blvd , Lakewood NJ 08701-1493. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Phillip, Dvora can be contacted via phone (732) 606-5004.

Contact Information

Primary practice address
22 Baila Blvd Lakewood NJ 08701-1493
Phone: (732) 606-5004
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-15-19791 New Jersey

Profile Details

NPI number 1184095994
LBN Legal business name Phillip, Dvora
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2015
Last updated Oct 28th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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