Individual
DR. JILL DIANA CHASSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, DRPH, ND, IMD
Contact information
Practice address
70 PARK ST STE 208, MONTCLAIR, NJ 07042-2960
(202) 230-4126
Mailing address
38 BELLE TERRE RD, WEST ORANGE, NJ 07052-2324
(202) 230-4126
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
—
—
174N00000X
Lactation Consultant (Non-RN)
—
—
175F00000X
Naturopath
Primary
—
—
175M00000X
Lay Midwife
—
—
176B00000X
Midwife
—
—
246ZG1000X
Medical Geneticist (PhD) Specialist/Technologist
—
—
251K00000X
Public Health or Welfare Agency
—
—
374J00000X
Doula
—
—
Other
Enumeration date
11/06/2020
Last updated
11/06/2020
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