Doctor Name: | DIANE HARTH |
NPI Number: | 1053482281 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 44SC05156500 |
Business Practice Address: | 1172 E Ridgewood Ave Suite 4 Ridgewood, NJ - 074503936 |
Business Phone Number: | 2014453883 |
Business Fax Number: | 2016840941 |
Mailing Address: | 1172 E Ridgewood Ave, Suite 4 RIDGEWOOD |
State: | NJ |
Postal Code: | 074503936 |
Phone Number: | 2014453883 |
Fax Number: | 2016840941 |
NPI Enumeration Date: | 11/10/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 44SC05156500 |
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 |