Diane M Goodfellow
Individual provider Active NPI Mental Health Counselor · Cherry Hill, NJ
NPI 1487942538 · NPPES record last updated Jul 11, 2011
Key facts
- NPI
- 1487942538
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 19 E Ormond Ave
Cherry Hill, NJ 08034-2053 - Phone
- (856) 428-1300
- NPI assigned
- Jul 11, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
19 E Ormond Ave
Cherry Hill, NJ 08034-2053
Mailing address
19 E Ormond Ave
Cherry Hill, NJ 08034-2053
Phone (856) 428-1300
Other providers in Cherry Hill, NJ
- Crystal Natalia Gonzalez
- Joanne Gonzalez
- Rebeca Aime Gonzalez
- Susan M Gonzalez
- Yesenia Gonzalez
- Barbara Goodman
- Cortney Goodstadt
- Goodwill Invalid Coach Service
- Amanda Goodwin
- Elizabeth Mary Goodwin
All providers in Cherry Hill, NJ · Mental Health Counselor in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.