Provider Demographics
NPI:1083787774
Name:SIKOUTRIS-DIIORIO, MARIA (LPC)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:SIKOUTRIS-DIIORIO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:HELLENIC THERAPY CEN
Other - Middle Name:
Other - Last Name:HELLENIC THERAPY CENTER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA, EDS, LPC
Mailing Address - Street 1:567 PARK AVE
Mailing Address - Street 2:SUITE 204
Mailing Address - City:SCOTCH PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07076-1754
Mailing Address - Country:US
Mailing Address - Phone:908-322-0112
Mailing Address - Fax:908-789-0230
Practice Address - Street 1:567 PARK AVE
Practice Address - Street 2:SUITE 204
Practice Address - City:SCOTCH PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07076-1754
Practice Address - Country:US
Practice Address - Phone:908-322-0112
Practice Address - Fax:908-789-0230
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00356200101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional