Diane Nathans, LCSW

NPI 1285854133 · on the registry since 2007 · sole proprietor

Practice

Address: 15 Godwin Ave
Ridgewood, NJ 07450
Phone: (201) 670-0269
Organisation at this address: Kathleen Mcnulty
Form Functional Health Llc
Corporate Family Resources, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: NJ
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2009-03-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey