| Organization Name: | DON DIGIOVINE, PH.D. LLC |
| NPI Number: | 1801099809 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DON DIGIOVINE (AUTHORIZED OFFICIAL) |
| Mailing Address: | 886 Belmont Ave Suite # 3 North Haledon |
| State: | NJ US |
| Postal Code: | 075082573 |
| Phone Number: | 9734233983 |
| Fax Number: | 2018917334 |
| NPI Enumeration Date: | 06/07/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 35SI00271000 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |