Jacqueline Russiano Miles in Pasadena - Psychologist
Jacqueline Russiano Miles - NPI 1518178771
Jacqueline Russiano Miles is a Psychologist in Pasadena, California. Jacqueline Russiano Miles practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Jacqueline Russiano Miles is 1518178771. The last update date is 2007-07-08.
Jacqueline Russiano Miles's current location address is 745 S Marengo Ave, Pasadena, California. You can contact this provider via phone number 6265774733. The mailing address for Jacqueline Russiano Miles is 745 S Marengo Ave, Pasadena, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacqueline Russiano Miles |
|---|---|
| Address | 745 S Marengo Ave, Pasadena, California |
| Phone Number | 6265774733 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1518178771 |
|---|---|
| Provider Enumeration Date | 2007-05-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 745 S Marengo Ave |
|---|---|
| City | Pasadena |
| State | California (CA) |
| Post Code | 911064735 |
| Phone Number | 6265774733 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 7882 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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What is the Jacqueline Russiano Miles's 1518178771?
The Jacqueline Russiano Miles's NPI (National Provider Identifier) Number is 1518178771. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jacqueline Russiano Miles?
The Jacqueline Russiano Miles is situated at 745 S Marengo Ave, in the city of Pasadena, state of CA, with the zip code 911064735.
What is Jacqueline Russiano Miles's area of expertise and its corresponding taxonomy classification?
The Jacqueline Russiano Miles's field of specialization is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their areas of practice.
When was the Jacqueline Russiano Miles's 1518178771 issued?
The Jacqueline Russiano Miles's 1518178771 was issued on 2007-05-26.
When was the information pertaining to Jacqueline Russiano Miles most recently updated or revised?
The details related to Jacqueline Russiano Miles, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA