Dr. Michelle Renne Miller
Counseling Psychologist
4630 W Jefferson Blvd Ste 11a
Fort Wayne
, Indiana 46804-6800
Dr. Michelle Renne Miller
Counseling Psychologist
4630 W Jefferson Blvd Ste 11a
Fort Wayne
, Indiana 46804-6800
(260) 434-1612
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About
Features
Specialties
- Counseling Psychologist
Languages spoken
- English
Location
First Address
- Dr. Michelle Renne Miller
- 4630 W Jefferson Blvd Ste 11a
- Fort Wayne, IN
- Zip : 46804-6800
- Fax : (260) 434-1612
- Phone : (260) 434-1606
Second Address
- Dr. Michelle Renne Miller
- 4630 W Jefferson Blvd Ste 11a
- Fort Wayne, IN
- Zip : 46804-6800
- Fax : (260) 434-1612
- Phone : (260) 434-1606
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TC1900X | Counseling Psychologist | 20042044A | IN |
National Provider Identifier
| NPI | 1003929456 |
|---|---|
| Provider Name | Dr. Michelle Renne Miller |
| First Address | Fort Wayne, IN 46804-6800 |
| Second Address | Fort Wayne, IN 46804-6800 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/08/2006 |
| Last Update Date | 07/07/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.