Organization
MILES PSYCHOLOGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT MILES PSYD LP (LICENSED PSYCHOLOGIST)
13202474737
Entity
Organization
Contact information
Practice address
606 25TH AVE S, SUITE 105, SAINT CLOUD, MN 56301-4810
(320) 247-4737
(320) 365-0080
Mailing address
606 25TH AVE S, SUITE 105, SAINT CLOUD, MN 56301-4810
(320) 247-4737
(320) 365-0080
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
LP5676
MN
Other
Enumeration date
08/26/2015
Last updated
08/26/2015
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