Miles, Gregory Russell
Miles, Gregory Russell is an individual health care provider with primary practice located at 814 Bamberger Dr , American Fork UT 84003-2165. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Miles, Gregory Russell can be contacted via phone (801) 772-0202.Contact Information
Primary practice address
814 Bamberger Dr
American Fork UT 84003-2165
Phone: (801) 772-0202
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 8523640-2501 | Utah |
Profile Details
| NPI number | 1396148250 |
|---|---|
| LBN Legal business name | Miles, Gregory Russell |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 6th, 2014 |
| Last updated | Oct 6th, 2014 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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