NPI 1013620566

Miranda Harris

Practitioner Marriage & Family Therapist Fort Wayne, IN

Practice location

Address: 9417 Saint Joe Rd, Fort Wayne, IN 46835-9474
Phone: (260) 370-6573
Mailing address: 6424 Spy Glass Run, Fort Wayne, IN 46804-4232

Registered specialties

Marriage & Family Therapist Primary

Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence 35002269A (IN)

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Registry record

NPI: 1013620566
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Dec 2022
Record last updated: 29 Dec 2022

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.