Individual
DR. DIANE CARBONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3429 SHORELINE DR, ALLENWOOD, NJ 08720
(732) 233-5484
(732) 292-2814
Mailing address
PO BOX 497, 3429 SHORELINE DRIVE, ALLENWOOD, NJ 08720
(732) 233-5484
(732) 292-2814
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
SI002965
NJ
103TC0700X
Clinical Psychologist
SI002965
NJ
Other
Enumeration date
10/14/2013
Last updated
08/02/2018
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