Provider Demographics
NPI:1306315379
Name:RIYAD, DIANE
Entity type:Individual
Prefix:MRS
First Name:DIANE
Middle Name:
Last Name:RIYAD
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:DIANE
Other - Middle Name:
Other - Last Name:GIRGIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:73 CASCADES AVE
Mailing Address - Street 2:
Mailing Address - City:HOWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07731-9040
Mailing Address - Country:US
Mailing Address - Phone:908-839-0577
Mailing Address - Fax:
Practice Address - Street 1:501 IRON BRIDGE RD
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728
Practice Address - Country:US
Practice Address - Phone:732-761-1900
Practice Address - Fax:732-761-2388
Is Sole Proprietor?:No
Enumeration Date:2018-11-19
Last Update Date:2021-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health