Individual
DR. DIANA CHACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
223 BLOOMFIELD ST, SUITE 112, HOBOKEN, NJ 07030-4747
(201) 714-4600
(201) 255-0888
Mailing address
223 BLOOMFIELD ST, SUITE 112, HOBOKEN, NJ 07030-4747
(201) 714-4600
(201) 255-0888
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35S100382000
NJ
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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