Provider Demographics
NPI:1942485966
Name:COFSKY, DIANA M (LPC)
Entity type:Individual
Prefix:MRS
First Name:DIANA
Middle Name:M
Last Name:COFSKY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 CRANBURY HILL CT
Mailing Address - Street 2:
Mailing Address - City:MOUNT LAUREL
Mailing Address - State:NJ
Mailing Address - Zip Code:08054-4849
Mailing Address - Country:US
Mailing Address - Phone:856-222-9646
Mailing Address - Fax:856-222-9640
Practice Address - Street 1:1930 MARLTON PIKE E
Practice Address - Street 2:N-70
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08003-2150
Practice Address - Country:US
Practice Address - Phone:609-280-3035
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-09
Last Update Date:2008-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00291100101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional