Doctor Name: | MISS MIRANDA LOUISE ETHERINGTON |
NPI Number: | 1528221934 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CT |
License Number: | C.0700385-TRNE |
Business Practice Address: | 1320 Woodman Dr Suite 200 Dayton, OH - 454323497 |
Business Phone Number: | 9372231781 |
Business Fax Number: | 9374248656 |
Mailing Address: | 1320 Woodman Dr, Suite 200 DAYTON |
State: | OH |
Postal Code: | 454323497 |
Phone Number: | 9372231781 |
Fax Number: | 9374248656 |
NPI Enumeration Date: | 07/07/2008 |
NPI Last Update Date: | 07/07/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | C.0700385-TRNE |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |