Individual
MICHELLE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
411 HACKENSACK AVE, HACKENSACK, NJ 07601-6328
(201) 465-8111
Mailing address
23 SHORT HILLS CIR APT 1B, MILLBURN, NJ 07041-1244
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
020985
NY
103TC0700X
Clinical Psychologist
Primary
5480
NJ
Other
Enumeration date
06/16/2015
Last updated
06/18/2015
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