Organization Name: | PAMELA MILLER PHD PC |
NPI Number: | 1013991405 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAMELA GAIL MILLER (CLINICAL PSYCHOLOGIST) |
Mailing Address: | 321 W 4th St The Dalles |
State: | OR US |
Postal Code: | 970581807 |
Phone Number: | 5412983294 |
Fax Number: | 5412983294 |
NPI Enumeration Date: | 11/30/2005 |
NPI Last Update Date: | 06/29/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 1394 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |