Individual
DR. MARTINE LILIANE VAN MILDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1841 BROADWAY, 4TH FLOOR, NEW YORK, NY 10023-7603
(212) 541-8196
(212) 333-5444
Mailing address
343 JOHNSTON DR, WATCHUNG, NJ 07069-6409
(908) 727-2700
(908) 757-2954
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
012650
NY
Other
Enumeration date
09/06/2007
Last updated
09/06/2007
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