Provider Demographics
NPI:1679226682
Name:SINDLE, MIYA MICHELLE (SCHOOL PSYCHOLOGIST)
Entity type:Individual
Prefix:
First Name:MIYA
Middle Name:MICHELLE
Last Name:SINDLE
Suffix:
Gender:F
Credentials:SCHOOL PSYCHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7553
Mailing Address - Street 2:
Mailing Address - City:CITRUS HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:95621-7553
Mailing Address - Country:US
Mailing Address - Phone:916-470-1856
Mailing Address - Fax:
Practice Address - Street 1:8608 FOBES DR
Practice Address - Street 2:
Practice Address - City:ANTELOPE
Practice Address - State:CA
Practice Address - Zip Code:95843-5572
Practice Address - Country:US
Practice Address - Phone:916-470-0595
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-31
Last Update Date:2022-05-02
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist