Individual provider · Type 1 NPI

Charles Miezejeski, PhD

Clinical Psychologist · New York, NY

NPI number 1235145228 Active

Practice location

1745 Broadway, 17 Fl
New York, NY 10019-4640

Call (212) 851-8100 Map

Fax (212) 537-0102

Mailing address

556 College Ave
Staten Island, NY 10302-2510

Specialties and licenses

Taxonomy	Code	License
Clinical Psychologist Primary	103TC0700X	6368 (NY)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1235145228

Charles Miezejeski, PhD's National Provider Identifier is 1235145228, issued on Jul 31, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in New York, NY. The record was last updated on Nov 11, 2021.