Organization
JOHN T MIELE, PHD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MIELE (CLINICAL PSYCHOLOGIST)
(973) 464-9639
Entity
Organization
Contact information
Practice address
301 S LIVINGSTON AVE, SUITE 202 (ACAP), LIVINGSTON, NJ 07039-3932
(973) 464-9639
Mailing address
112 DULLES DRIVE, DUMONT, NJ 07628-3620
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03288406
—
NY
Enumeration date
05/25/2011
Last updated
10/15/2012
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