Individual
THERESA DEMICHELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
6 ORCHARD ST, MARLBORO, NJ 07746-1412
(650) 796-0922
Mailing address
6 ORCHARD ST, MARLBORO, NJ 07746-1412
(650) 796-0922
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35S100752900
NJ
Other
Enumeration date
07/18/2024
Last updated
07/18/2024
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