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Contact Information

DAVID LEIBOVITZ
2250 CHAPEL AVE W
SUITE 100
CHERRY HILL, NJ08002-2051
 Phone: 856-482-9000
 Fax: 856-482-1159
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for DAVID LEIBOVITZ · (Male)

NPI # 1477867315
Status Active
Credentials
Entity Individual
Enumeration date 08/03/2010
Last updated 08/13/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • DE License # B1-0000837
  • NJ License # 35SI00479300
  • NJ Medicaid 0244627
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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