| Doctor Name: | DIANE GOLDBLUM-GRAFF |
| NPI Number: | 1154449734 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSN, APN, BC |
| License Number: | NJ00113400 |
| Business Practice Address: | 521 Guinevere Dr Newtown Square, PA - 190734433 |
| Business Phone Number: | 6103560151 |
| Business Fax Number: | 6103596959 |
| Mailing Address: | 521 Guinevere Dr, NEWTOWN SQUARE |
| State: | PA |
| Postal Code: | 190734433 |
| Phone Number: | 6103560151 |
| Fax Number: | 6103595969 |
| NPI Enumeration Date: | 03/26/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SP0809X |
| License Number: | NJ00113400 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Psych/Mental Health, Adult |
| Taxonomy Definition: | |