Provider Demographics
NPI:1982730412
Name:FLAKS, DAVID KALMIN (PSYD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:KALMIN
Last Name:FLAKS
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:651 ROUTE 73 N
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-3444
Mailing Address - Country:US
Mailing Address - Phone:856-797-1121
Mailing Address - Fax:
Practice Address - Street 1:651 ROUTE 73 N
Practice Address - Street 2:
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053-3444
Practice Address - Country:US
Practice Address - Phone:856-797-1121
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2016-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS-007773-L103TC0700X
NJ35SI00335100103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical