Individual
DR. INGRID DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3 PARK SQ, METUCHEN, NJ 08840-1878
(732) 718-4873
Mailing address
3 PARK SQ, METUCHEN, NJ 08840-1878
(732) 718-4873
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
023959-01
NY
103TC0700X
Clinical Psychologist
Primary
35S100619800
NJ
103TC0700X
Clinical Psychologist
PY11025
FL
1041C0700X
Clinical Social Worker
44SC05226900
NJ
1041C0700X
Clinical Social Worker
SW12802
FL
Other
Enumeration date
11/02/2006
Last updated
03/19/2021
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