| Michelle Wade | |
|
17 Grand St Apt 2 Newburgh NY 12550-7629 | |
| (845) 419-1563 | |
| Not Available |
| Full Name | Michelle Wade |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 17 Grand St Apt 2, Newburgh, New York |
| Authorized Official Name and Position | Michelle Wade (PSYCHOTHERAPIST) |
| Authorized Official Contact | 8454191563 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Wade 17 Grand St Newburgh NY 12550-7628 Ph: (914) 382-6895 | Michelle Wade 17 Grand St Apt 2 Newburgh NY 12550-7629 Ph: (845) 419-1563 |
| NPI Number | 1396448940 |
|---|---|
| Provider Enumeration Date | 03/23/2023 |
| Last Update Date | 08/30/2023 |
| Certification Date | 08/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396448940 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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