Tim Miles

NPI #1801921499 in Grants, New Mexico

Provider Information

NPI Number: 1801921499
Entity Type: Individual
Name: Tim Miles
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - School
Enumeration Date: Feb 22, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 402 N SECOND STREET
City: Grants
State: New Mexico
ZIP Code: 87020
Phone: (505) 285-2614

Specialties & Taxonomy Codes

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

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