Doctor Name: | MS. MARTHA R. MILLER |
NPI Number: | 1083858351 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 0904006988 |
Business Practice Address: | 6723 Whittier Ave Suite 406 Mc Lean, VA - 221014522 |
Business Phone Number: | 7038508067 |
Business Fax Number: | |
Mailing Address: | Po Box 45, MC LEAN |
State: | VA |
Postal Code: | 221010045 |
Phone Number: | 7038508067 |
Fax Number: | |
NPI Enumeration Date: | 04/29/2009 |
NPI Last Update Date: | 04/06/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 0904006988 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |