Provider Demographics
NPI:1154580595
Name:SZKRYBALO, JOEL (PHD)
Entity type:Individual
Prefix:DR
First Name:JOEL
Middle Name:
Last Name:SZKRYBALO
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 STRAUBE CENTER BLVD
Mailing Address - Street 2:BOX H-1
Mailing Address - City:PENNINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08534-1447
Mailing Address - Country:US
Mailing Address - Phone:609-737-7797
Mailing Address - Fax:609-737-7499
Practice Address - Street 1:100 STRAUBE CENTER BLVD
Practice Address - Street 2:BOX H-1
Practice Address - City:PENNINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08534-1447
Practice Address - Country:US
Practice Address - Phone:609-737-7797
Practice Address - Fax:609-737-7499
Is Sole Proprietor?:No
Enumeration Date:2008-06-02
Last Update Date:2008-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJSI003943103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical