Organization
WELLNESS MATTERS PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN MICKEL APN (OWNER)
(732) 239-9051
Entity
Organization
Contact information
Practice address
52 FOREST RD, NEW PROVIDENCE, NJ 07974-2338
(732) 239-9051
Mailing address
52 FOREST RD, NEW PROVIDENCE, NJ 07974-2338
(732) 239-9051
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
26NJ00069500
NJ
Other
Enumeration date
08/04/2017
Last updated
07/21/2022
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