| North Jersey Consultation Center | |
|
301 S Livingston Ave Livingston NJ 07039-3932 | |
| (973) 629-1001 | |
| (973) 629-1003 |
| Full Name | North Jersey Consultation Center |
|---|---|
| Speciality | Psychologist - Psychoanalysis |
| Location | 301 S Livingston Ave, Livingston, New Jersey |
| Authorized Official Name and Position | John Thomas Miele (CLINIC MANAGER) |
| Authorized Official Contact | 9736291001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Jersey Consultation Center 301 S Livingston Ave Livingston NJ 07039-3932 Ph: (973) 629-1001 | North Jersey Consultation Center 301 S Livingston Ave Livingston NJ 07039-3932 Ph: (973) 629-1001 |
| NPI Number | 1528379880 |
|---|---|
| Provider Enumeration Date | 07/01/2010 |
| Last Update Date | 07/01/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528379880 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP0814X | Psychologist - Psychoanalysis | 35S100441900 (New Jersey) | Primary |
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