Individual
DR. DENISE LYNN MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
60 PLAZA ST E, SUITE 1K, BROOKLYN, NY 11238-5025
(347) 316-8575
Mailing address
576 6TH AVE, APT. 3, BROOKLYN, NY 11215-8400
(718) 344-2634
(718) 765-2574
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
017066-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A300038054
PTAN
NY
Enumeration date
02/14/2007
Last updated
06/13/2013
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