| Doctor Name: | DR. MILES KEVAN HOHENEGGER |
| NPI Number: | 1043325244 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | PY00000969 |
| Business Practice Address: | 8290 165th Ave Ne Redmond, WA - 980523948 |
| Business Phone Number: | 4258692644 |
| Business Fax Number: | 4258670930 |
| Mailing Address: | 6539 117th Ave Se, BELLEVUE |
| State: | WA |
| Postal Code: | 980066441 |
| Phone Number: | 4254300599 |
| Fax Number: | |
| NPI Enumeration Date: | 08/20/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PY00000969 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |