Doctor Name: | MR. DAVID A MILLER |
NPI Number: | 1003016379 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC, MED |
License Number: | 14670 |
Business Practice Address: | 1001 West Ave Ste B Austin, TX - 787012072 |
Business Phone Number: | 5126082024 |
Business Fax Number: | |
Mailing Address: | 1001 West Ave Ste B, AUSTIN |
State: | TX |
Postal Code: | 787012072 |
Phone Number: | 5126082024 |
Fax Number: | |
NPI Enumeration Date: | 07/24/2007 |
NPI Last Update Date: | 08/22/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 14670 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |