Didomenico, Heather Irene

Didomenico, Heather Irene is an individual health care provider with primary practice located at 185 Us Highway 206 Ste 1 , Roxbury Township NJ 07836-9238. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Didomenico, Heather Irene can be contacted via phone (973) 668-4806.

Contact Information

Primary practice address
185 Us Highway 206 Ste 1 Roxbury Township NJ 07836-9238
Phone: (973) 668-4806
Fax: (862) 205-6072
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 37PC00317200 New Jersey

Profile Details

NPI number 1396968467
LBN Legal business name Didomenico, Heather Irene
Credentials MS, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2007
Last updated Apr 15th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396968467 NPPES
New Jersey Other 7545842 AETNA OUT NETWORK ID

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