| Doctor Name: | MRS. JOANNE DIFFENBAUGH |
| NPI Number: | 1407149461 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.P.C. |
| License Number: | PC002776 |
| Business Practice Address: | 101 Route 130 S Cinnaminson, NJ - 080772845 |
| Business Phone Number: | 8568293600 |
| Business Fax Number: | |
| Mailing Address: | 2123 River Rd, EGG HARBOR CITY |
| State: | NJ |
| Postal Code: | 082154745 |
| Phone Number: | 6094323179 |
| Fax Number: | |
| NPI Enumeration Date: | 05/24/2011 |
| NPI Last Update Date: | 05/24/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | PC002776 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |