Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KADIAN SAMANTHA MIRACLE
Active Sole ProprietorClinical Psychologist · GRANVILLE, OH
Registration Details
- NPI Number
- 1376109892
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 10, 2019 (6.948714953839 yrs)
- Last Updated
- May 10, 2019
- Licenses
-
P.7565 (OH)P.7565 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
100 WEST COLLEGE STREETWHISLER HALLGRANVILLE, OH, 43023Browse OH providers · Browse ZIP 43023
- Phone
- 7402745792
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- Additional Specialty
- Health Service Psychologist
Other Clinical Psychologist Providers in GRANVILLE, OH
| Name | Credential | NPI |
|---|---|---|
| DR. BRIAN LEE BARKETT | PSY.D. | 1972647394 |
| DR. MARCI MCCAULAY | PH.D. | 1306978895 |
| MR. DALE ALLEN WENKE | M.A. | 1790998136 |
| ROBERT WEIS | PHD | 1962034165 |
| ERIN JANE HENSHAW | PHD | 1518785690 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.