Provider Demographics
NPI:1558501635
Name:D'ELIA, CECILIA SANCHEZ (PSYD)
Entity Type:Individual
Prefix:DR
First Name:CECILIA
Middle Name:SANCHEZ
Last Name:D'ELIA
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 1:351 W PASSAIC AVE
Mailing Address - Street 2:
Mailing Address - City:RUTHERFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07070-1827
Mailing Address - Country:US
Mailing Address - Phone:201-647-9632
Mailing Address - Fax:
Practice Address - Street 1:80 PARK AVE
Practice Address - Street 2:
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-3572
Practice Address - Country:US
Practice Address - Phone:201-526-4684
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-02
Last Update Date:2009-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ3PC00227500101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional