Provider Demographics
NPI:1467935189
Name:LUONGO, DARIA (PSYD, LPC, NCC)
Entity Type:Individual
Prefix:DR
First Name:DARIA
Middle Name:
Last Name:LUONGO
Suffix:
Gender:F
Credentials:PSYD, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 FREEMAN PL
Mailing Address - Street 2:
Mailing Address - City:NUTLEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07110-3314
Mailing Address - Country:US
Mailing Address - Phone:201-396-8932
Mailing Address - Fax:
Practice Address - Street 1:10 FREEMAN PL
Practice Address - Street 2:
Practice Address - City:NUTLEY
Practice Address - State:NJ
Practice Address - Zip Code:07110-3314
Practice Address - Country:US
Practice Address - Phone:201-396-8932
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-09
Last Update Date:2018-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00622600103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling