| Doctor Name: | DR. KEVIN JOHN MILLER |
| NPI Number: | 1013089044 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHD |
| License Number: | 3630 |
| Business Practice Address: | 135 Columbia Tpke 101 Florham Park, NJ - 079322104 |
| Business Phone Number: | 9735600595 |
| Business Fax Number: | 9735600490 |
| Mailing Address: | 33 Parkside Dr, EAST HANOVER |
| State: | NJ |
| Postal Code: | 079361714 |
| Phone Number: | 9735600595 |
| Fax Number: | 9735600490 |
| NPI Enumeration Date: | 11/14/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 3630 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |