Individual provider · NPI-1

Alaafia O Ajibade, MA, PD

Psychologist, School · Newark, NJ

NPI number1992148423
StatusActive
Last updated in NPPESApr 15, 2013

Details

NPI
1992148423
Entity type
Individual (NPI-1)
Name
Alaafia O Ajibade
Credential
MA, PD
Sex
Male
Sole proprietor
No
Enumeration date
Apr 15, 2013
Last updated
Apr 15, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TS0200X Psychologist, School851495NJYes

Practice location

15 Hudson St
Apt. B
Newark, NJ 07103

Phone 732-423-0708

Mailing address

15 Hudson St
Apt. B
Newark, NJ 07103-2803

Phone 732-423-0708

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