| Doctor Name: | MRS. MARY BETH DELBALZO |
| NPI Number: | 1346541083 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CHT, LCSW |
| License Number: | 445C0535900 |
| Business Practice Address: | 18 Sycamore Ave 2nd Floor Ho Ho Kus, NJ - 074231582 |
| Business Phone Number: | 2013942319 |
| Business Fax Number: | 2073273299 |
| Mailing Address: | 18 Sycamore Ave, 2nd Floor HO HO KUS |
| State: | NJ |
| Postal Code: | 074231582 |
| Phone Number: | 2013942319 |
| Fax Number: | 2073273299 |
| NPI Enumeration Date: | 11/11/2010 |
| NPI Last Update Date: | 04/04/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 445C0535900 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |