Colis, Michael Joseph

Colis, Michael Joseph is an sole proprietor health care provider with primary practice located at 408 S White Horse Pike , Audubon NJ 08106-1311. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Colis, Michael Joseph can be contacted via phone (856) 310-9696.

Contact Information

Primary practice address
408 S White Horse Pike Audubon NJ 08106-1311
Phone: (856) 310-9696
Fax: (856) 546-7362
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X NJ1599 New Jersey
Behavioral Health & Social Service Providers / Counseling 103TC1900X NJ1599 New Jersey

Profile Details

NPI number 1578640942
LBN Legal business name Colis, Michael Joseph
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2006
Last updated May 19th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578640942 NPPES
New Jersey Other 1599 PSYCHOLOGY LICENSE
New Jersey Other 3569 PSYCHOLOGY LICENSE
New Jersey MEDICAID 2344602 PSYCHOLOGY LICENSE
New Jersey Other 448 PSYCHOLOGY LICENSE

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