Provider Demographics
NPI:1194878264
Name:DIGIOVINE, DON (PHD)
Entity type:Individual
Prefix:DR
First Name:DON
Middle Name:
Last Name:DIGIOVINE
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:886 BELMONT AVE
Mailing Address - Street 2:SUITE # 3
Mailing Address - City:NORTH HALEDON
Mailing Address - State:NJ
Mailing Address - Zip Code:07508-2573
Mailing Address - Country:US
Mailing Address - Phone:973-423-3983
Mailing Address - Fax:201-891-7334
Practice Address - Street 1:886 BELMONT AVE
Practice Address - Street 2:SUITE # 3
Practice Address - City:NORTH HALEDON
Practice Address - State:NJ
Practice Address - Zip Code:07508-2573
Practice Address - Country:US
Practice Address - Phone:973-423-3983
Practice Address - Fax:201-891-7334
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35SI00271000103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist