T.STACEY MCMILLAN

KEYPORT, NJ
NPI1972932424
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103T00000X Psychologist
(Licence: FL  TM714709D)
Enumeration Date2013-11-05
Last Update Date2013-11-05
Business Address
Dr. T.STACEY MCMILLAN LPT, LMFT, Ph.D.
43 W FRONT ST STE B
KEYPORT, NJ 07735-3601
Phone number: 732-407-0006
Mailing Address
Dr. T.STACEY MCMILLAN LPT, LMFT, Ph.D.
PO BOX 728
KEYPORT, NJ 07735-0728
Phone number: 732-497-0666