Individual
MRS. DIANA M HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
890 MOUNTAIN AVE, NEW PROVIDENCE, NJ 07974-1218
(908) 277-8900
(908) 508-8919
Mailing address
25 REMER AVE, SPRINGFIELD, NJ 07081-3225
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05800400
NJ
1041C0700X
Clinical Social Worker
44SL06076500
NJ
Other
Enumeration date
12/12/2016
Last updated
08/28/2023
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