Provider Demographics
NPI:1841210556
Name:DELONG, MARGARET DOHERTY (PSYD)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:DOHERTY
Last Name:DELONG
Suffix:
Gender:F
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:PO BOX 32
Mailing Address - Street 2:
Mailing Address - City:LIBERTY CORNER
Mailing Address - State:NJ
Mailing Address - Zip Code:07938-0032
Mailing Address - Country:US
Mailing Address - Phone:908-832-7380
Mailing Address - Fax:908-832-7585
Practice Address - Street 1:3640 VALLEY RD.
Practice Address - Street 2:
Practice Address - City:LIBERTY CORNER
Practice Address - State:NJ
Practice Address - Zip Code:07938
Practice Address - Country:US
Practice Address - Phone:908-832-7380
Practice Address - Fax:908-832-7585
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ3947103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent