Individual
DR. JOHN THOMAS MIELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
301 S LIVINGSTON AVE, 2ND FL--ACAP, LIVINGSTON, NJ 07039-3932
(973) 464-9639
Mailing address
112 DULLES DR, DUMONT, NJ 07628-3620
(973) 464-9639
(201) 338-2895
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
4419
NJ
103TC0700X
Clinical Psychologist
Primary
4419
NJ
103TC1900X
Counseling Psychologist
4419
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4419
PSYCHOLOGIST LICENSE
NJ
Enumeration date
04/24/2007
Last updated
03/10/2014
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