Provider Demographics
NPI:1144739061
Name:MILLER, CINDY FAITH (PHD)
Entity Type:Individual
Prefix:DR
First Name:CINDY
Middle Name:FAITH
Last Name:MILLER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3564 N TUSCANY
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85207-1888
Mailing Address - Country:US
Mailing Address - Phone:215-913-9128
Mailing Address - Fax:
Practice Address - Street 1:9965 N 95TH ST STE 101
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-4594
Practice Address - Country:US
Practice Address - Phone:480-998-2303
Practice Address - Fax:480-998-3169
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-22
Last Update Date:2017-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4477103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist