Mark A Miles in Memphis - Clinical Child & Adolescent
Mark A Miles - NPI 1053306159
Mark A Miles is a Clinical Child & Adolescent in Memphis, Tennessee. Mark A Miles practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Mark A Miles is 1053306159. The last update date is 2007-07-09.
Mark A Miles's current location address is 332 N Lauderdale St, Memphis, Tennessee. You can contact this provider via phone number 9014953006 and fax number 9014953842. The mailing address for Mark A Miles is 332 N Lauderdale St, Memphis, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark A Miles |
|---|---|
| Address | 332 N Lauderdale St, Memphis, Tennessee |
| Phone Number | 9014953006 |
| Fax Number | 9014953842 |
| Sole Proprietor | X |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1053306159 |
|---|---|
| Provider Enumeration Date | 2005-09-14 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 332 N Lauderdale St |
|---|---|
| City | Memphis |
| State | Tennessee (TN) |
| Post Code | 381052794 |
| Phone Number | 9014953006 |
| Fax Number | 9014953842 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | 2302 |
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Definition: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5440556 | TN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mark A Miles by the Centers for Medicare & Medicaid Services (CMS)?
The Mark A Miles has been assigned the NPI (National Provider Identifier) 1053306159. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Mark A Miles is physically located?
The Mark A Miles is situated at the following address: 332 N Lauderdale St, Memphis, TN 381052794.
What is Mark A Miles's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mark A Miles's area of specialization is Clinical Child & Adolescent, and the corresponding taxonomy code that categorizes this field of practice is 103Tc2200X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1053306159 to Mark A Miles?
The Centers for Medicare & Medicaid Services originally issued the 1053306159 to Mark A Miles on 2005-09-14.
As of what date was the information pertaining to Mark A Miles, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mark A Miles, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-09.