Individual
MICHAEL JOSEPH PANELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2414 ROUTE 34, SUITE 103, MANASQUAN, NJ 08736
(732) 887-0701
Mailing address
2414 ROUTE 34 STE 103, MANASQUAN, NJ 08736-1808
(732) 887-0701
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35SI00581000
NJ
Other
Enumeration date
09/06/2017
Last updated
07/21/2022
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