Provider Demographics
NPI:1033325964
Name:D'ANGELI, MARYANN (LPC)
Entity Type:Individual
Prefix:
First Name:MARYANN
Middle Name:
Last Name:D'ANGELI
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12A ENGLISH VLG
Mailing Address - Street 2:CRANFORD
Mailing Address - City:CRANFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07016-2253
Mailing Address - Country:US
Mailing Address - Phone:908-276-3920
Mailing Address - Fax:
Practice Address - Street 1:2253 SOUTH AVE
Practice Address - Street 2:SCOTCH PLAINS
Practice Address - City:SCOTCH PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07076-4688
Practice Address - Country:US
Practice Address - Phone:908-232-4484
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00181600101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional