Provider Demographics
NPI:1982006276
Name:DIYENNO & ASSOCIATES
Entity Type:Organization
Organization Name:DIYENNO & ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARMAND
Authorized Official - Middle Name:
Authorized Official - Last Name:DIYENNO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-372-8971
Mailing Address - Street 1:2705 COIFFERT WAY
Mailing Address - Street 2:
Mailing Address - City:COOPERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:18036
Mailing Address - Country:US
Mailing Address - Phone:267-372-8971
Mailing Address - Fax:215-721-8778
Practice Address - Street 1:315 E BROAD ST
Practice Address - Street 2:ROUTE 113
Practice Address - City:SOUDERTON
Practice Address - State:PA
Practice Address - Zip Code:18964-1213
Practice Address - Country:US
Practice Address - Phone:267-372-8971
Practice Address - Fax:215-721-8778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-18
Last Update Date:2014-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty