MEDICARE: ARLYN INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP1600X	Pastoral Counselor

General Provider Information

NPI Number	:	1508168741
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARLYN INC

Provider Business Mailing Address
First Line	:	1450 W 7TH ST
Second Line	:
City	:	SAN PEDRO
State	:	CA
Zip	:	90732-3516
Country	:	US
Telephone Number	:	310-832-3140
Fax Number	:

Provider Business Practice Location Address
First Line	:	1450 W 7TH ST
Second Line	:
City	:	SAN PEDRO
State	:	CA
Zip	:	90732-3516
Country	:	US
Telephone Number	:	310-832-3140
Fax Number	:

Authorized Official
Title or Position	:	DOCTOR
Name	:	DR. NANCY CAROLYN MILLER
Credential	:	PHD
Telephone Number	:	310-832-3140

Provider Enumeration Date	:	11/19/2010
Last Update Date	:	11/19/2010

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Directions to “ARLYN INC ” Practice Location

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