Mark A Miles PH.D.

NPI 1053306159 - Psychologist - 103TC2200X

NPI Details
NPI 1053306159
Gender Male
Enumeration Date 09/14/2005
Last Updated 07/09/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
332 N LAUDERDALE ST
MEMPHIS TN, 38105-2794, US
Phone (901) 495-3006
Fax (901) 495-3842
Business Location
332 N LAUDERDALE ST
MEMPHIS TN, 38105-2794, US
Phone (901) 495-3006
Fax (901) 495-3842
Toxanomy
Taxonomy Code 103TC2200X
License State Tennessee
License Number 2302
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According to our database, Dr. Mark A Miles PH.D. NPI is 1053306159, taxonomy code is 103TC2200X and license number is 2302, license state is located at Tennessee. Mark A Miles PH.D. physically located at 332 N Lauderdale St, Memphis TN, 38105-2794. NPI Number Mark A Miles PH.D. has the Individual type.

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1053306159 NPI number is provided on an as is basis without warranty of any kind. 1053306159 is maintained by the National Plan & Provider Enumeration System. The contents of Mark A Miles PH.D. are for informational purposes only.