Individual provider · Type 1 NPI
Jazma Ann Wilson-Miles
Intellectual & Developmental Disabilities Psychologist · Livonia, MI
NPI number
1366841637
Active
Practice location
34050 Industrial Rd
Livonia, MI 48150-1306
Fax (734) 293-0048
Mailing address
3015 Williams St
Dearborn, MI 48124-3786
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual & Developmental Disabilities Psychologist Primary | 103TM1800X | 1134203235 (MI) |
Intellectual & Developmental Disabilities Psychologist: Definition to come...
2 other providers at this address
About NPI 1366841637
Jazma Ann Wilson-Miles's National Provider Identifier is 1366841637, issued on Aug 22, 2014. The primary taxonomy on file is Intellectual & Developmental Disabilities Psychologist (103TM1800X), and the practice location is in Livonia, MI. The record was last updated on Aug 22, 2014.