Provider Demographics
NPI:1649796418
Name:DRANOFF, MIHAELA (PHD)
Entity type:Individual
Prefix:DR
First Name:MIHAELA
Middle Name:
Last Name:DRANOFF
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:574 VALLEY RD STE 25
Mailing Address - Street 2:
Mailing Address - City:UPPER MONTCLAIR
Mailing Address - State:NJ
Mailing Address - Zip Code:07043-1805
Mailing Address - Country:US
Mailing Address - Phone:973-204-4969
Mailing Address - Fax:
Practice Address - Street 1:574 VALLEY RD STE 25
Practice Address - Street 2:
Practice Address - City:UPPER MONTCLAIR
Practice Address - State:NJ
Practice Address - Zip Code:07043-1805
Practice Address - Country:US
Practice Address - Phone:973-204-4969
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35SI0057960051103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist