Provider Demographics
NPI:1801977210
Name:SCAFIDI, MARYANN (EDS,LMFT,LPC)
Entity type:Individual
Prefix:MRS
First Name:MARYANN
Middle Name:
Last Name:SCAFIDI
Suffix:
Gender:F
Credentials:EDS,LMFT,LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94 KNAPP AVE
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07011-1333
Mailing Address - Country:US
Mailing Address - Phone:973-473-7488
Mailing Address - Fax:973-272-2448
Practice Address - Street 1:1030 CLIFTON AVE
Practice Address - Street 2:SUITE 209
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07013-3522
Practice Address - Country:US
Practice Address - Phone:973-473-7488
Practice Address - Fax:973-272-2448
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2010-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37FI00147600106H00000X
NJ37PC00134300101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional