| Heather Didomenico | |
|
109 Main St Suite 2 Succasunna NJ 07876-1453 | |
| (973) 634-5171 | |
| Not Available |
| Full Name | Heather Didomenico |
|---|---|
| Speciality | Counselor - Professional |
| Location | 109 Main St, Succasunna, New Jersey |
| Authorized Official Name and Position | Heather Didomenico (DIRECTOR/SOLE PROPRIETOR) |
| Authorized Official Contact | 9736345171 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heather Didomenico 109 Main St Suite 2 Succasunna NJ 07876-1453 Ph: (973) 668-4806 | Heather Didomenico 109 Main St Suite 2 Succasunna NJ 07876-1453 Ph: (973) 634-5171 |
| NPI Number | 1689963449 |
|---|---|
| Provider Enumeration Date | 04/01/2011 |
| Last Update Date | 04/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689963449 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 37PC00317200 (New Jersey) | Primary |
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