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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295829430 | NPPES |
| Ohio | MEDICAID | 2104083 |
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