Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TB0200X | Cognitive & Behavioral Psychologist | PC009443 | PA |
NPI | 1184148033 |
---|---|
Provider Name | Christina Elaine Miles |
First Address | York, PA 17402-9001 |
Second Address | York, PA 17403-2862 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/08/2017 |
Last Update Date | 17/03/2018 |