Mirlis, Jill

Mirlis, Jill is an sole proprietor health care provider with primary practice located at 122 High St , Passaic NJ 07055-4753. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Mirlis, Jill can be contacted via phone (973) 930-1770.

Contact Information

Primary practice address
122 High St Passaic NJ 07055-4753
Phone: (973) 930-1770
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 026273 New York
Behavioral Health & Social Service Providers / Clinical 103TC0700X 35S100704700 New Jersey

Profile Details

NPI number 1467050641
LBN Legal business name Mirlis, Jill
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 11th, 2020
Last updated Feb 10th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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