Michelle Fanciullo, PSY.D.
NPI #1144831082 in Hackensack, New Jersey
Provider Information
- NPI Number
- 1144831082
- Entity Type
- Individual
- Name
- Michelle Fanciullo, PSY.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychologist - Clinical Child & Adolescent
- Credential
- PSY.D.
- Enumeration Date
- Aug 13, 2020
- Last Updated
- Aug 13, 2020
Practice Location
- Address
- 12 2ND ST
- City
- Hackensack
- State
- New Jersey
- ZIP Code
- 07601-2009
- Phone
- (551) 996-8186
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical Child & Adolescent — Clinical Child & Adolescent |
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