| Doctor Name: | WENDY C MILLER |
| NPI Number: | 1033385448 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LICSW |
| License Number: | ISW02073 |
| Business Practice Address: | 55 Cherry Ln Wakefield, RI - 028793617 |
| Business Phone Number: | 4013647705 |
| Business Fax Number: | 4013649104 |
| Mailing Address: | Po Box 899, CHARLESTOWN |
| State: | RI |
| Postal Code: | 028130899 |
| Phone Number: | 4013647705 |
| Fax Number: | 4013649104 |
| NPI Enumeration Date: | 05/06/2008 |
| NPI Last Update Date: | 04/18/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | ISW02073 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | RI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |