Dr. Joan Ellis Mysiak, Ph.D.
Psychologist in Pennington, NJ. Individual provider (NPI-1).
NPI number1124364591
StatusActive
Last updated in NPPESDec 12, 2012
Details
- NPI
- 1124364591
- Entity type
- Individual (NPI-1)
- Name
- Dr. Joan Ellis Mysiak
- Credential
- Ph.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 12, 2012
- Last updated
- Dec 12, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 35SI00254700 | NJ | Yes |
Practice location
306 Hale StreetPennington, NJ 08534-2705
Phone 609-818-9230
Mailing address
306 Hale StreetPennington, NJ 08534
Phone 609-818-9230
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All 12 Psychologist providers in Pennington · All 918 providers in Pennington
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