Organization
ACADEMY OF CLINICAL AND APPLIED PSYCHOANALYSIS
Active
Other names
North Jersey Consultation Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN THOMAS MIELE PH.D. (CLINIC MANAGER)
(973) 629-1001
Entity
Organization
Contact information
Practice address
301 S LIVINGSTON AVE, LIVINGSTON, NJ 07039-3932
(973) 629-1001
(973) 629-1003
Mailing address
301 S LIVINGSTON AVE, LIVINGSTON, NJ 07039-3932
(973) 629-1001
(973) 629-1003
Taxonomy
Speciality
Code
Description
License number
State
103TP0814X
Psychoanalysis Psychologist
Primary
35S100441900
NJ
Other
Enumeration date
07/01/2010
Last updated
07/01/2010
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