MEDICARE: MISS MICHELLE SIMONE REUBEN L.P.C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	37AC00099600	NJ
2	101YP2500X	Professional Counselor	37PC00511700	NJ
3	101YM0800X	Mental Health Counselor	37AC00099600	NJ

General Provider Information

NPI Number	:	1659781011
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS MICHELLE SIMONE REUBEN L.P.C

Provider Business Mailing Address
First Line	:	371 HOES LN STE 200
Second Line	:
City	:	PISCATAWAY
State	:	NJ
Zip	:	08854-4143
Country	:	US
Telephone Number	:	732-743-5774
Fax Number	:	732-626-6334

Provider Business Practice Location Address
First Line	:	371 HOES LN STE 200
Second Line	:
City	:	PISCATAWAY
State	:	NJ
Zip	:	08854-4143
Country	:	US
Telephone Number	:	732-743-5774
Fax Number	:	732-626-6334

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/06/2014
Last Update Date	:	02/26/2026

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Directions to “ MISS MICHELLE SIMONE REUBEN L.P.C” Practice Location

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