Doctor Name: | MIRA M MAY |
NPI Number: | 1023177177 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | |
Business Practice Address: | 4221 N Broadway Ave Muncie, IN - 473031015 |
Business Phone Number: | 7652827150 |
Business Fax Number: | 7652829166 |
Mailing Address: | 210 S Manning Ave, MUNCIE |
State: | IN |
Postal Code: | 473034650 |
Phone Number: | 7657176729 |
Fax Number: | |
NPI Enumeration Date: | 12/06/2006 |
NPI Last Update Date: | 12/14/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |