Miceli, Brenda Joyce

Miceli, Brenda Joyce is an individual health care provider with primary practice located at 410 Valley St , Dayton OH 45404-1843. 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. Miceli, Brenda Joyce can be contacted via phone (937) 641-3401.

Contact Information

Primary practice address
410 Valley St Dayton OH 45404-1843
Phone: (937) 641-3401
Fax: (937) 641-3066
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 5477 Ohio

Profile Details

NPI number 1295829430
LBN Legal business name Miceli, Brenda Joyce
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Oct 15th, 2023 - about last year

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 1295829430 NPPES
Ohio MEDICAID 2104083

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