Provider Demographics
NPI:1326599861
Name:CHIJINDU, DANA NJIDEKA (BS)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:NJIDEKA
Last Name:CHIJINDU
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1457 PRINCETON AVE APT 3
Mailing Address - Street 2:
Mailing Address - City:EWING
Mailing Address - State:NJ
Mailing Address - Zip Code:08638-3833
Mailing Address - Country:US
Mailing Address - Phone:609-775-7475
Mailing Address - Fax:
Practice Address - Street 1:1457 PRINCETON AVE APT 3
Practice Address - Street 2:
Practice Address - City:EWING
Practice Address - State:NJ
Practice Address - Zip Code:08638-3833
Practice Address - Country:US
Practice Address - Phone:609-775-7475
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-19
Last Update Date:2016-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health