Individual
DR. MARC JOSHUA DIENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1800 ROCKAWAY AVE, SUITE 206A, HEWLETT, NY 11557-1665
(646) 246-1662
(646) 871-0203
Mailing address
1800 ROCKAWAY AVE, SUITE 206A, HEWLETT, NY 11557-1665
(646) 246-1662
(646) 871-0203
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
68017465
NY
103TC0700X
Clinical Psychologist
0810003955
VA
Other
Enumeration date
11/05/2010
Last updated
07/10/2013
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