Individual provider · Type 1 NPI

Amanda Rose O'Brien Milleisen, PhD

Clinical Psychologist · Ridgewood, NJ

NPI number 1437219011 Active

Practice location

1 Prospect St Ste 4-7
Ridgewood, NJ 07450-4404

Fax (201) 447-4377

Mailing address

4714 Gettysburg Rd, Legal Department
Mechanicsburg, PA 17055-4325

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X35S100454100 (NJ)

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 1437219011

Amanda Rose O'Brien Milleisen, PhD's National Provider Identifier is 1437219011, issued on Dec 12, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Ridgewood, NJ. The record was last updated on Dec 27, 2019.