Most Relevant Information
Provider Data
| NPI Number: | 1003557000 |
| Provider Name: | ROBERT DIAZ MA, CADC, CRS, CFRS, |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/05/2022 |
| Last Updated: | 04/05/2022 |
Provider Practice Location
1262 WOOD LN STE 102
LANGHORNE
PA
190474250
Practice Location Phone/Fax
| Phone: | 2673585150 |
| Fax: |
Provider Mailing Location
PO BOX 34
WOMELSDORF
PA
195670034
Provider Mailing Phone/Fax
| Phone: | 4845259832 |
| Fax: |