Doctor Name: | MS. ELLEN G. DINNEEN |
NPI Number: | 1043637200 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., LPC |
License Number: | 37PC00043600 |
Business Practice Address: | 224 Riveredge Dr Chatham, NJ - 079283110 |
Business Phone Number: | 9732675080 |
Business Fax Number: | 9736355640 |
Mailing Address: | 224 Riveredge Dr, CHATHAM |
State: | NJ |
Postal Code: | 079283110 |
Phone Number: | 9732675080 |
Fax Number: | 9736365640 |
NPI Enumeration Date: | 03/26/2014 |
NPI Last Update Date: | 03/26/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 37PC00043600 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |