Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIM MILES
Active Sole ProprietorSchool Psychologist · GRANTS, NM
Registration Details
- NPI Number
- 1801921499
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 22, 2007 (19.169033672458 yrs)
- Last Updated
- Jul 8, 2007
- License
-
287256 (NM)
- Sole Proprietor
- Yes
Practice Information
- Address
-
402 N SECOND STREETGRANTS, NM, 87020Browse NM providers · Browse ZIP 87020
- Phone
- 5052852614
- Fax
- 5052878487
- Primary Specialty
-
School Psychologist
103TS0200X
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.