| Doctor Name: | MR. MICHAEL A. MICHNYA |
| NPI Number: | 1013057066 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | L.P.C. |
| License Number: | 37PC00214700 |
| Business Practice Address: | 126 W Meyran Ave Somers Point, NJ - 082442140 |
| Business Phone Number: | 6096010352 |
| Business Fax Number: | 6096017944 |
| Mailing Address: | Po Box 424, SOMERS POINT |
| State: | NJ |
| Postal Code: | 082440424 |
| Phone Number: | 6096010352 |
| Fax Number: | 6096017944 |
| NPI Enumeration Date: | 02/07/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 37PC00214700 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |