Provider Demographics
NPI:1548596851
Name:D'AURIA, DINORAH (PSYD)
Entity Type:Individual
Prefix:
First Name:DINORAH
Middle Name:
Last Name:D'AURIA
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 324
Mailing Address - Street 2:
Mailing Address - City:EMERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07630-0324
Mailing Address - Country:US
Mailing Address - Phone:973-580-3211
Mailing Address - Fax:
Practice Address - Street 1:381 KINDERKAMACK RD STE A
Practice Address - Street 2:BOX 324
Practice Address - City:EMERSON
Practice Address - State:NJ
Practice Address - Zip Code:07630-1119
Practice Address - Country:US
Practice Address - Phone:973-580-3211
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-20
Last Update Date:2011-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ4724103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent