Individual
DR. MICHAEL WHEATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
240 MADISON AVE, OFFICE 10A, NEW YORK, NY 10016-2820
(973) 986-3575
Mailing address
240 MADISON AVE, OFFICE 10A, NEW YORK, NY 10016-2820
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
020846
NY
Other
Enumeration date
05/04/2016
Last updated
05/04/2016
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