Healthcare Provider Details

I. General information

NPI: 1336395995
Provider Name (Legal Business Name): DARIN D SCHIFFMAN PSY.D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/14/2008
Last Update Date: 07/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

88 WEST GRAND STREET
ELIZABETH NJ
07202-1446
US

IV. Provider business mailing address

3201 SCENIC CT
DENVILLE NJ
07834-3481
US

V. Phone/Fax

Practice location:
  • Phone: 201-725-1620
  • Fax:
Mailing address:
  • Phone: 201-725-1620
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number4562
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: