Provider Demographics
NPI:1467839738
Name:DIGIOVANNI, SHAYNNA NICOLE (PHD)
Entity type:Individual
Prefix:DR
First Name:SHAYNNA
Middle Name:NICOLE
Last Name:DIGIOVANNI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:SHAYNNA
Other - Middle Name:NICOLE
Other - Last Name:HERRERA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:7 OXFORD PL
Mailing Address - Street 2:
Mailing Address - City:GLEN ROCK
Mailing Address - State:NJ
Mailing Address - Zip Code:07452-2021
Mailing Address - Country:US
Mailing Address - Phone:973-687-6038
Mailing Address - Fax:
Practice Address - Street 1:7 OXFORD PL
Practice Address - Street 2:
Practice Address - City:GLEN ROCK
Practice Address - State:NJ
Practice Address - Zip Code:07452-2021
Practice Address - Country:US
Practice Address - Phone:973-687-6038
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-06
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY023257103TC0700X
NJ35SI00755100103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical