Diane Park, LCSW

NPI 1588392070 · on the registry since 2022 · sole proprietor

Practice

Address: 180 Old Tappan Rd Ste 9
Old Tappan, NJ 07675
Phone: (929) 376-8868
Organisation at this address: Icurewellness
201 Oral Surgery
David Jenkins, P.A.
Kelli Brady Dds Llc
Freda Orthodontics Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 9

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: 2025-02-06

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