Provider Demographics
NPI:1568540854
Name:COHEN, DIANNE LEIGH (LPC, NCC)
Entity Type:Individual
Prefix:
First Name:DIANNE
Middle Name:LEIGH
Last Name:COHEN
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:DIANNE
Other - Middle Name:WARSHAVER
Other - Last Name:COHEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC, NCC
Mailing Address - Street 1:181 LONG HILL RD
Mailing Address - Street 2:BLDG 10 UNIT 7
Mailing Address - City:LITTLE FALLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07424-2050
Mailing Address - Country:US
Mailing Address - Phone:973-954-3402
Mailing Address - Fax:
Practice Address - Street 1:181 LONG HILL RD
Practice Address - Street 2:BLDG 10 UNIT 7
Practice Address - City:LITTLE FALLS
Practice Address - State:NJ
Practice Address - Zip Code:07424-2050
Practice Address - Country:US
Practice Address - Phone:973-954-3402
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2010-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00126900101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional