Doctor Name: | DR. MICHELE CAROL HAVENS |
NPI Number: | 1003259094 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MICHELE HAVENS, ED.D |
License Number: | 2196985 |
Business Practice Address: | 5 Manker Dr Florham Park, NJ - 079322309 |
Business Phone Number: | 2014865607 |
Business Fax Number: | 9733776769 |
Mailing Address: | 5 Manker Dr, FLORHAM PARK |
State: | NJ |
Postal Code: | 079322309 |
Phone Number: | 2014865607 |
Fax Number: | 9733776769 |
NPI Enumeration Date: | 04/09/2013 |
NPI Last Update Date: | 04/09/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 2196985 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |