James Robert Derieux V
James Robert Derieux V is a Student in an Organized Health Care Education/Training Program in East Brunswick, New Jersey. Licensed in New Jersey. Registered with an NPI since 2021.
- Licensed in
- NJ
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
190 Route 18 Ste 203East Brunswick, NJ 08816-1407
Phone: (732) 994-3456
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Specialties & licences
| Cognitive & Behavioral Psychologist (primary) | Taxonomy 103TB0200X · Licence TP223-032 (NJ) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1548834930 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 19, 2021 |
| Last updated in NPPES | May 3, 2023 |
| Certification date | May 3, 2023 |
| Mailing address | 190 Route 18 Ste 203, East Brunswick, NJ 08816-1407 |
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