Doctor Name: | MRS. DAMYANTI AURORA |
NPI Number: | 1215081336 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA |
License Number: | 37PC00125500 |
Business Practice Address: | 33 Wood Ave S 4th Floor Iselin, NJ - 088302735 |
Business Phone Number: | 7325360076 |
Business Fax Number: | 7329728846 |
Mailing Address: | 16 Prusakowski Blvd, PARLIN |
State: | NJ |
Postal Code: | 088593161 |
Phone Number: | 7327252244 |
Fax Number: | |
NPI Enumeration Date: | 01/23/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 37PC00125500 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |