| John T Miele, Phd Llc | |
|
301 S Livingston Ave Suite 202 (acap) Livingston NJ 07039-3932 | |
| (973) 464-9639 | |
| Not Available |
| Full Name | John T Miele, Phd Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 301 S Livingston Ave, Livingston, New Jersey |
| Authorized Official Name and Position | John Miele (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 9734649639 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John T Miele, Phd Llc 112 Dulles Drive Dumont NJ 07628-3620 Ph: () - | John T Miele, Phd Llc 301 S Livingston Ave Suite 202 (acap) Livingston NJ 07039-3932 Ph: (973) 464-9639 |
| NPI Number | 1083907901 |
|---|---|
| Provider Enumeration Date | 05/25/2011 |
| Last Update Date | 10/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083907901 | NPI | - | NPPES |
| 03288406 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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