Doctor Name: | DR. SUE BARRICK MILLER |
NPI Number: | 1043327612 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | PSY002513 |
Business Practice Address: | 6740 Jamestown Dr. Alpharetta, GA - 300053948 |
Business Phone Number: | 7708339966 |
Business Fax Number: | 6785130743 |
Mailing Address: | 6740 Jamestown Dr., ALPHARETTA |
State: | GA |
Postal Code: | 300053948 |
Phone Number: | 7708339966 |
Fax Number: | 6785130743 |
NPI Enumeration Date: | 08/23/2006 |
NPI Last Update Date: | 01/27/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PSY002513 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |