Justin Michener PH.D.

NPI 1649586405 - Psychologist - 103TC0700X

NPI Details
NPI 1649586405
Gender Male
Enumeration Date 08/30/2010
Last Updated 06/22/2015
Entity Type Individual
Active Over 6 years ago
Practice Location
28 JONES ST ST 204
SETAUKET NY, 11733, US
Phone (631) 632-6720
Fax
Business Location
111 FAWN LANE EAST
SOUTH SETAUKET NY, 11720, US
Phone (631) 632-6720
Fax
Toxanomy
Taxonomy Code 103TC0700X
License State New York
License Number 018752
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According to our database, Dr. Justin Michener PH.D. NPI is 1649586405, taxonomy code is 103TC0700X and license number is 018752, license state is located at New York. Justin Michener PH.D. physically located at 28 Jones St St 204, Setauket NY, 11733. NPI Number Justin Michener PH.D. has the Individual type.

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1649586405 NPI number is provided on an as is basis without warranty of any kind. 1649586405 is maintained by the National Plan & Provider Enumeration System. The contents of Justin Michener PH.D. are for informational purposes only.