NPI 1003929456

Michelle Renne Miller, PHD

Practitioner Counseling Psychologist Fort Wayne, IN

Practice location

Address: 4630 W Jefferson Blvd STE 11a, Fort Wayne, IN 46804-6800
Phone: (260) 434-1606
Fax: (260) 434-1612

Registered specialties

Counseling Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC1900X Licence 20042044A (IN)

Other Psychologist providers in Indiana →

Registry record

NPI: 1003929456
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Aug 2006
Record last updated: 7 Jul 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.