Doctor Name: | DR. DEBORAH SCHWARTZ MILLER |
NPI Number: | 1043280803 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 002306 |
Business Practice Address: | 301 Sovereign Ct Suite 211 Ballwin, MO - 630114441 |
Business Phone Number: | 6365275051 |
Business Fax Number: | |
Mailing Address: | 6 Claychester Dr, SAINT LOUIS |
State: | MO |
Postal Code: | 631314007 |
Phone Number: | 3149662075 |
Fax Number: | |
NPI Enumeration Date: | 01/25/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 002306 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |