Individual provider · NPI-1

Erin Miles, PysD

Clinical Neuropsychologist · Fort Wayne, IN

NPI number1699196519
StatusActive
Last updated in NPPESDec 19, 2013

Details

NPI
1699196519
Entity type
Individual (NPI-1)
Name
Erin Miles
Credential
PysD
Sex
Female
Sole proprietor
No
Enumeration date
Dec 19, 2013
Last updated
Dec 19, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103G00000X Clinical Neuropsychologist20042720AINYes

Practice location

11104 Parkview Circle Dr Ste 110
Fort Wayne, IN 46845-1673

Phone 260-460-3203 · Fax 260-460-3271

Mailing address

11104 Parkview Circle Dr Ste 110
Fort Wayne, IN 46845-1673

Phone 260-460-3203 · Fax 260-460-3271

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