Provider Demographics
NPI:1891191078
Name:DANIELIAN, DEANNA (MA, MFT, SEP)
Entity Type:Individual
Prefix:MS
First Name:DEANNA
Middle Name:
Last Name:DANIELIAN
Suffix:
Gender:F
Credentials:MA, MFT, SEP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 WILLIAM ST APT 520
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07631-3689
Mailing Address - Country:US
Mailing Address - Phone:201-693-6166
Mailing Address - Fax:
Practice Address - Street 1:1 WILLIAM ST APT 520
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07631-3689
Practice Address - Country:US
Practice Address - Phone:201-693-6166
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-14
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist