Individual
DR. DONNA DETRIO ENGLISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
27 MOUNTAIN BLVD, SUITE 10, WARREN, NJ 07059-5605
(908) 279-7950
(908) 279-7948
Mailing address
58 MAGNA DRIVE, GILLETTE, NJ 07933-1417
(908) 604-4938
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35SI00276300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
129099000
MAGELLAN
—
01
—
581684078
TAX ID
—
01
—
74986
CIGNA
—
Enumeration date
01/30/2007
Last updated
02/13/2009
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