MR. Theodore Jon Miron, PSY.S.

NPI #1194946665 in Avondale, Arizona

Provider Information

NPI Number: 1194946665
Entity Type: Individual
Name: MR. Theodore Jon Miron, PSY.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - School
Credential: PSY.S.
Enumeration Date: May 1, 2007
Last Updated: Jul 25, 2007

Practice Location

Address: 3542 N 130TH DR
City: Avondale
State: Arizona
ZIP Code: 85323-6681
Phone: (623) 877-8695

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - School — School	103TS0200X	Primary

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