| Tonya L. Miles, Psyd, P.a. | |
|
11011 King St Suite 290 Overland Park KS 66210-1213 | |
| (913) 642-3134 | |
| Not Available |
| Full Name | Tonya L. Miles, Psyd, P.a. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 11011 King St, Overland Park, Kansas |
| Authorized Official Name and Position | Tonya L Miles (OWNER) |
| Authorized Official Contact | 9136423134 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tonya L. Miles, Psyd, P.a. 11011 King St Suite 290 Overland Park KS 66210-1213 Ph: (913) 642-3134 | Tonya L. Miles, Psyd, P.a. 11011 King St Suite 290 Overland Park KS 66210-1213 Ph: (913) 642-3134 |
| NPI Number | 1255601050 |
|---|---|
| Provider Enumeration Date | 01/10/2012 |
| Last Update Date | 01/10/2012 |
| Medicare PECOS PAC ID | 5597925107 |
|---|---|
| Medicare Enrollment ID | O20120319000682 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255601050 | NPI | - | NPPES |
| 200297160B | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1293 (Kansas) | Primary |
| Provider Name | Tonya L Miles |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013085562 PECOS PAC ID: 1658531264 Enrollment ID: I20120319000711 |
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