Individual
AMANDA ROSE O'BRIEN MILLEISEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1 PROSPECT ST STE 4-7, RIDGEWOOD, NJ 07450-4404
(201) 447-2242
(201) 447-4377
Mailing address
4714 GETTYSBURG RD, LEGAL DEPARTMENT, MECHANICSBURG, PA 17055-4325
(717) 972-1100
(717) 975-9981
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35S100454100
NJ
Other
Enumeration date
12/12/2006
Last updated
12/27/2019
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