Provider Demographics
NPI:1063798205
Name:MIELE, MICHELE RENE (MA, MS, PSYD)
Entity type:Individual
Prefix:DR
First Name:MICHELE
Middle Name:RENE
Last Name:MIELE
Suffix:
Gender:F
Credentials:MA, MS, PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:245 GRANDVIEW AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-1711
Mailing Address - Country:US
Mailing Address - Phone:717-884-9390
Mailing Address - Fax:
Practice Address - Street 1:503 N 21ST ST
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-2204
Practice Address - Country:US
Practice Address - Phone:717-763-2245
Practice Address - Fax:717-632-2272
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-02
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health