Individual
DR. MICHELLE RENNE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4630 W JEFFERSON BLVD, STE 11A, FORT WAYNE, IN 46804-6800
(260) 434-1606
(260) 434-1612
Mailing address
4630 W JEFFERSON BLVD, STE 11A, FORT WAYNE, IN 46804-6800
(260) 434-1606
(260) 434-1612
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
20042044A
IN
Other
Enumeration date
08/17/2006
Last updated
07/07/2016
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