Healthcare Provider Details

I. General information

NPI: 1023657152
Provider Name (Legal Business Name): KRISTIN M. MILLION PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/07/2020
Last Update Date: 02/05/2025
Certification Date: 02/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2620 N. 140TH AVE. SUITE 101
GOODYEAR AZ
85395
US

IV. Provider business mailing address

2620 N. 140TH AVE. SUITE 101
GOODYEAR AZ
85395
US

V. Phone/Fax

Practice location:
  • Phone: 623-536-7956
  • Fax: 623-536-9806
Mailing address:
  • Phone: 623-536-7956
  • Fax: 623-536-9806

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY-005598
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: