Doctor Name: | MISS REBA T MILES |
NPI Number: | 1013023613 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW., LCSW |
License Number: | 44SC00285800 |
Business Practice Address: | 151 Knollcroft Rd Lyons, NJ - 079395001 |
Business Phone Number: | 9086470180 |
Business Fax Number: | 9086045226 |
Mailing Address: | 920 Plymouth Rd, NORTH BRUNSWICK |
State: | NJ |
Postal Code: | 089024589 |
Phone Number: | 7329404101 |
Fax Number: | |
NPI Enumeration Date: | 08/23/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 44SC00285800 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |