=====================================================
General NPI Number Information
=====================================================
NPI Number | 1851550081
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | NOEL S DIORIO LMFT
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/03/2008
-----------------------------------------------------
Last Update Date | 06/03/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1 COMMERCE SQ 2005 MARKET STREET, SUITE 3140
-----------------------------------------------------
City | PHILADELPHIA
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19103-7042
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 215-696-3678
-----------------------------------------------------
Fax | 215-636-9979
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1 COMMERCE SQ 2005 MARKET STREET, SUITE 3140
-----------------------------------------------------
City | PHILADELPHIA
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19103-7042
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 215-696-3678
-----------------------------------------------------
Fax | 215-636-9979
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 106H00000X
-----------------------------------------------------
Taxonomy Name | Marriage & Family Therapist
-----------------------------------------------------
License Number | MF000423
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------