Dr Michelle Renne Miller, PHD - Psychologist in Fort Wayne, IN

Dr Michelle Renne Miller, PHD is a Psychologist - Counseling based in Fort Wayne, Indiana. Dr Michelle Renne Miller is licensed to practice in Indiana (license number 20042044A) and her current practice location is 4630 W Jefferson Blvd, Ste 11a, Fort Wayne, Indiana. She can be reached at her office (for appointments etc.) via phone at (260) 434-1606.

NPI number for Dr Michelle Renne Miller is 1003929456 and her current mailing address is 4630 W Jefferson Blvd, Ste 11a, Fort Wayne, Indiana. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003929456.

Contact Information

Dr Michelle Renne Miller, PHD
4630 W Jefferson Blvd, Ste 11a,
Fort Wayne, IN 46804-6800
(260) 434-1606
(260) 434-1612



Healthcare Provider's Profile

Full NameDr Michelle Renne Miller
GenderFemale
SpecialityPsychologist - Counseling
Location4630 W Jefferson Blvd, Fort Wayne, Indiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1003929456
  • Provider Enumeration Date: 08/17/2006
  • Last Update Date: 07/07/2016

Medical Identifiers

Medical identifiers for Dr Michelle Renne Miller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003929456NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC1900XPsychologist - Counseling 20042044A (Indiana)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Michelle Renne Miller is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Michelle Renne Miller, PHD
4630 W Jefferson Blvd, Ste 11a,
Fort Wayne, IN 46804-6800

Ph: (260) 434-1606
Dr Michelle Renne Miller, PHD
4630 W Jefferson Blvd, Ste 11a,
Fort Wayne, IN 46804-6800

Ph: (260) 434-1606

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› Verified 7 days ago


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