Wiley, Michelle K

Wiley, Michelle K is an individual health care provider with primary practice located at 1000 Main St , Port Jefferson NY 11777-2250. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Wiley, Michelle K can be contacted via phone (516) 993-6678.

Contact Information

Primary practice address
1000 Main St Port Jefferson NY 11777-2250
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 001749 New York

Profile Details

NPI number 1467033324
LBN Legal business name Wiley, Michelle K
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2021
Last updated Apr 20th, 2021 - about 3 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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