Individual provider · Type 1 NPI

Kadian Samantha Miracle

Clinical Psychologist · Granville, OH

NPI number 1376109892 Active

Practice location

100 West College Street, Whisler Hall
Granville, OH 43023

Mailing address

5806 Warner Meadows Dr
Westerville, OH 43081-8694

Other practice locations

  • 570 N State St Ste 210, Westerville, OH 43082-7135 · (740) 274-5792

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XP.7565 (OH)
Health Service Psychologist 103TH0100XP.7565 (OH)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1376109892

Kadian Samantha Miracle's National Provider Identifier is 1376109892, issued on May 10, 2019. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Granville, OH. The record was last updated on May 10, 2019.