Mrs. Jan Evans Miller
Psychologist
3309 Winthrop Ave Ste 100-A
Fort Worth
, Texas 76116-5614
Mrs. Jan Evans Miller
Psychologist
3309 Winthrop Ave Ste 100-A
Fort Worth
, Texas 76116-5614
(817) 585-4836
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About
Features
Specialties
- Psychologist
Languages spoken
- English
Location
First Address
- Mrs. Jan Evans Miller
- 3309 Winthrop Ave Ste 100-A
- Fort Worth, TX
- Zip : 76116-5614
- Fax : (817) 585-4836
- Phone : (817) 992-8129
Second Address
- Mrs. Jan Evans Miller
- 3309 Winthrop Ave Ste 100-A
- Fort Worth, TX
- Zip : 76116-5614
- Fax : (817) 585-4836
- Phone : (817) 992-8129
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 102L00000X | Psychologist | 112266 | TX |
| Y | 103T00000X | Psychologist | 112266 | TX |
National Provider Identifier
| NPI | 1003899444 |
|---|---|
| Provider Name | Mrs. Jan Evans Miller |
| First Address | Fort Worth, TX 76116-5614 |
| Second Address | Fort Worth, TX 76116-5614 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/11/2005 |
| Last Update Date | 29/08/2012 |
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.