Most Relevant Information
Provider Data
| NPI Number: | 1003259094 |
| Provider Name: | MICHELE CAROL HAVENS MICHELE HAVENS, ED.D |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: | 2196985 |
Most Important Dates
| Enumeration Date: | 04/09/2013 |
| Last Updated: | 02/16/2023 |
Provider Practice Location
5 MANKER DR
FLORHAM PARK
NJ
079322309
Practice Location Phone/Fax
| Phone: | 2014865607 |
| Fax: | 9733776769 |
Provider Mailing Location
5 MANKER DR
FLORHAM PARK
NJ
079322309
Provider Mailing Phone/Fax
| Phone: | 2014865607 |
| Fax: | 9733776769 |