Brenda Joyce Miceli in Dayton - Clinical Child & Adolescent

Brenda Joyce Miceli - NPI 1295829430

Brenda Joyce Miceli is a Clinical Child & Adolescent in Dayton, Ohio. Brenda Joyce Miceli practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Brenda Joyce Miceli is 1295829430. The last update date is 2023-10-15.

Brenda Joyce Miceli's current location address is 410 Valley St, Dayton, Ohio. You can contact this provider via phone number 9376413401 and fax number 9376413066. The mailing address for Brenda Joyce Miceli is 410 Valley St, Dayton, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Brenda Joyce Miceli
Address 410 Valley St, Dayton, Ohio
Phone Number 9376413401
Fax Number 9376413066
Sole Proprietor N
Credentials PH.D.

NPI Number Detail

NPI Number 1295829430
Provider Enumeration Date 2006-10-03
Last Updated Date 2023-10-15

Provider Mailing Address Detail

Address 410 Valley St
City Dayton
State Ohio (OH)
Post Code 454041843
Phone Number 9376413401
Fax Number 9376413066

Provider's Primary Taxonomy Detail

Speciality Clinical Child & Adolescent
Taxonomy 103Tc2200X
Licence No 5477
Definition:
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2104083 OH --

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FAQs about Brenda Joyce Miceli

What is the Brenda Joyce Miceli's 1295829430?

The Brenda Joyce Miceli's NPI (National Provider Identifier) Number is 1295829430. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Brenda Joyce Miceli's physical address?

The Brenda Joyce Miceli is physically located at 410 Valley St, in the city of Dayton, OH, with the postal code 454041843.

What is Brenda Joyce Miceli's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Brenda Joyce Miceli is Clinical Child & Adolescent, and the taxonomy classification code that categorizes this area of expertise is 103Tc2200X.

On what date did the Centers for Medicare & Medicaid Services assign the 1295829430 to Brenda Joyce Miceli?

The Centers for Medicare & Medicaid Services assigned the 1295829430 to Brenda Joyce Miceli on 2006-10-03.

As of what date was the information regarding Brenda Joyce Miceli, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Brenda Joyce Miceli, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-10-15.

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