| Don Digiovine, Ph.d. Llc | |
|
886 Belmont Ave Suite # 3 North Haledon NJ 07508-2573 | |
| (973) 423-3983 | |
| (201) 891-7334 |
| Full Name | Don Digiovine, Ph.d. Llc |
|---|---|
| Speciality | Psychologist |
| Location | 886 Belmont Ave, North Haledon, New Jersey |
| Authorized Official Name and Position | Don Digiovine (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 2018917334 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Don Digiovine, Ph.d. Llc 886 Belmont Ave Suite # 3 North Haledon NJ 07508-2573 Ph: (973) 423-3983 | Don Digiovine, Ph.d. Llc 886 Belmont Ave Suite # 3 North Haledon NJ 07508-2573 Ph: (973) 423-3983 |
| NPI Number | 1801099809 |
|---|---|
| Provider Enumeration Date | 06/07/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 7315047198 |
|---|---|
| Medicare Enrollment ID | O20070709000444 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801099809 | NPI | - | NPPES |
| 1194878264 | Other | NJ | INDIVIDUAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 35SI00271000 (New Jersey) | Primary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 35SI00271000 (New Jersey) | Primary |
| Provider Name | Donald A Digiovine |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194878264 PECOS PAC ID: 9537148846 Enrollment ID: I20040719000994 |
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