| Michelle Fanciullo, PSYD | |
| 
					12 2nd St, Hackensack, NJ 07601-2009  | |
| (551) 996-8186 | |
| Not Available | 
| Full Name | Michelle Fanciullo | 
|---|---|
| Gender | Female | 
| Speciality | Psychologist - Clinical Child & Adolescent | 
| Location | 12 2nd St, Hackensack, New Jersey | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1144831082 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 35SI00623300 (New Jersey) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Michelle Fanciullo, PSYD 30 Prospect Ave, Hackensack, NJ 07601-1915 Ph: () -  | Michelle Fanciullo, PSYD 12 2nd St, Hackensack, NJ 07601-2009 Ph: (551) 996-8186  | 
Michelle Miller,  Psychologist Medicare: Not Enrolled in Medicare Practice Location: 411 Hackensack Ave, Hackensack, NJ 07601 Phone: 201-465-8111  | |
Dr. Linda Terry Mack, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 83 Summit Ave, Hackensack, NJ 07601 Phone: 201-488-6678 Fax: 201-224-0599  | |
Dr. Anne R Farrar-anton, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 30 Prospect Ave, Tomorrows Childrens Institute, Hackensack, NJ 07601 Phone: 201-996-5255 Fax: 201-487-7340  | |
Marisol Habrahamshon, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 83 Summit Ave, Hackensack, NJ 07601 Phone: 201-488-6678  | |
Nadine Alison Lawrence, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 350 Prospect Ave Apt 703, Hackensack, NJ 07601 Phone: 917-514-4406  | |
Dr. Estelle Janiec, PH.D, LPC Psychologist Medicare: Medicare Enrolled Practice Location: 83 Summit Ave, Hackensack, NJ 07601 Phone: 201-488-6678 Fax: 201-224-0599  |