Martha S. Allen-Miles, MFT

Individual provider Active NPI Marriage & Family Therapist · Camarillo, CA

NPI 1003079484 · NPPES record last updated Jul 7, 2008

Key facts

NPI
1003079484
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
MFC41268 (CA)
Practice address
975 Flynn Rd
Camarillo, CA 93012-8704
Phone
(805) 388-7740
Fax
(805) 482-0987
NPI assigned
Jul 7, 2008
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
MFC41268CAMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC41268 CA Yes

Addresses

Primary practice location

975 Flynn Rd
Camarillo, CA 93012-8704

Mailing address

975 Flynn Rd
Camarillo, CA 93012-8704
Phone (818) 986-2420

Other names

  • Martie Miles Other name

Other providers in Camarillo, CA

All providers in Camarillo, CA · Marriage & Family Therapist in California

Sources for this page

Verify at the official NPI Registry.