Fanciullo, Michelle

Fanciullo, Michelle is an individual health care provider with primary practice located at 12 2Nd St , Hackensack NJ 07601-2009. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Fanciullo, Michelle can be contacted via phone (551) 996-8186.

Contact Information

Primary practice address
12 2Nd St Hackensack NJ 07601-2009
Phone: (551) 996-8186
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 35SI00623300 New Jersey

Profile Details

NPI number 1144831082
LBN Legal business name Fanciullo, Michelle
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2020
Last updated Aug 13th, 2020 - about 5 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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