| Doctor Name: | DR. JOEL SZKRYBALO |
| NPI Number: | 1154580595 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | SI003943 |
| Business Practice Address: | 100 Straube Center Blvd Box H-1 Pennington, NJ - 085341447 |
| Business Phone Number: | 6097377797 |
| Business Fax Number: | 6097377499 |
| Mailing Address: | 100 Straube Center Blvd, Box H-1 PENNINGTON |
| State: | NJ |
| Postal Code: | 085341447 |
| Phone Number: | 6097377797 |
| Fax Number: | 6097377499 |
| NPI Enumeration Date: | 06/02/2008 |
| NPI Last Update Date: | 06/02/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | SI003943 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |