Provider Demographics
NPI:1427211200
Name:RICHARD B. DAUBER, PH.D.
Entity type:Organization
Organization Name:RICHARD B. DAUBER, PH.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:BRIAN
Authorized Official - Last Name:DAUBER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:973-257-9000
Mailing Address - Street 1:50 CHERRY HILL RD
Mailing Address - Street 2:SUITE 305
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054-1113
Mailing Address - Country:US
Mailing Address - Phone:973-257-9000
Mailing Address - Fax:973-257-0506
Practice Address - Street 1:50 CHERRY HILL RD
Practice Address - Street 2:SUITE 305
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054-1113
Practice Address - Country:US
Practice Address - Phone:973-257-9000
Practice Address - Fax:973-257-0506
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-02
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35S100168800103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJDA578857Medicare PIN