Provider Demographics
NPI:1366190027
Name:DIGIROLAMO, CASEY LAYNE
Entity type:Individual
Prefix:
First Name:CASEY
Middle Name:LAYNE
Last Name:DIGIROLAMO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 ELIZABETH AVE
Mailing Address - Street 2:
Mailing Address - City:POMPTON PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07444-1304
Mailing Address - Country:US
Mailing Address - Phone:201-602-6872
Mailing Address - Fax:
Practice Address - Street 1:1 CORY RD
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-3112
Practice Address - Country:US
Practice Address - Phone:201-602-6872
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-12
Last Update Date:2022-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst