Doctor Name: | DR. TONYA L MILES |
NPI Number: | 1013085562 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSYD |
License Number: | 1293 |
Business Practice Address: | 11011 King St Suite 290 Overland Park, KS - 662101213 |
Business Phone Number: | 9136423134 |
Business Fax Number: | 8883344327 |
Mailing Address: | 11011 King St, Suite 290 OVERLAND PARK |
State: | KS |
Postal Code: | 662101213 |
Phone Number: | 9136423134 |
Fax Number: | 8883344327 |
NPI Enumeration Date: | 12/01/2006 |
NPI Last Update Date: | 04/02/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 1293 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |