Doctor Name: | MS. DIANA MENDEZ |
NPI Number: | 1750769782 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 44SC05631900 |
Business Practice Address: | 314 Sanford Ave Dunellen, NJ - 088121042 |
Business Phone Number: | 7324747378 |
Business Fax Number: | 7325822722 |
Mailing Address: | 314 Sanford Ave, DUNELLEN |
State: | NJ |
Postal Code: | 088121042 |
Phone Number: | 7324747378 |
Fax Number: | 7325822722 |
NPI Enumeration Date: | 05/11/2015 |
NPI Last Update Date: | 05/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 44SC05631900 |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |