Individual
MS. HEATHER IRENE DIDOMENICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
185 US HIGHWAY 206 STE 1, ROXBURY TOWNSHIP, NJ 07836-9238
(973) 668-4806
(862) 205-6072
Mailing address
185 US HIGHWAY 206 STE 1, FLANDERS, NJ 07836-9238
(973) 668-4806
(862) 205-6072
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
37PC00317200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7545842
AETNA OUT NETWORK ID
NJ
Enumeration date
04/10/2007
Last updated
09/12/2025
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