Individual
DR. MILES H OVERHOLT III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DSW
Contact information
Practice address
106 MONTICELLO DR, CINNAMINSON, NJ 08077-4378
(856) 786-9355
(856) 786-8642
Mailing address
PO BOX 2349, CINNAMINSON, NJ 08077-5349
(856) 786-9355
(856) 786-8642
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
756
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
756
MARRIAGE & FAMILY THERAPY
NJ
Enumeration date
05/14/2007
Last updated
07/08/2007
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