Provider Demographics
NPI:1295193944
Name:GERONI, DANA M (LPC)
Entity Type:Individual
Prefix:MRS
First Name:DANA
Middle Name:M
Last Name:GERONI
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:DANA
Other - Middle Name:M
Other - Last Name:RILEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:130 N LOVETT AVE
Mailing Address - Street 2:
Mailing Address - City:LITTLE SILVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07739-1403
Mailing Address - Country:US
Mailing Address - Phone:732-241-0070
Mailing Address - Fax:
Practice Address - Street 1:44 SYCAMORE AVE STE C
Practice Address - Street 2:
Practice Address - City:LITTLE SILVER
Practice Address - State:NJ
Practice Address - Zip Code:07739-1242
Practice Address - Country:US
Practice Address - Phone:732-241-0070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-09
Last Update Date:2020-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00627900101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional