Provider Demographics
NPI:1487296117
Name:FERNANDES, DAYNA LYNN (LCSW)
Entity type:Individual
Prefix:
First Name:DAYNA
Middle Name:LYNN
Last Name:FERNANDES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 YORK DR
Mailing Address - Street 2:
Mailing Address - City:HELMETTA
Mailing Address - State:NJ
Mailing Address - Zip Code:08828-1161
Mailing Address - Country:US
Mailing Address - Phone:908-616-6373
Mailing Address - Fax:
Practice Address - Street 1:322 COMMONS WAY
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-1510
Practice Address - Country:US
Practice Address - Phone:973-664-7466
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-15
Last Update Date:2022-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC05880200101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor