| Organization Name: | PENNY MILLER, PHD |
| NPI Number: | 1124496351 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PENNY JEAN MILLER (CLINICAL PSYCHOLOGIST) |
| Mailing Address: | 73 Elk St Coudersport |
| State: | PA US |
| Postal Code: | 169159601 |
| Phone Number: | 8142748346 |
| Fax Number: | |
| NPI Enumeration Date: | 09/03/2015 |
| NPI Last Update Date: | 09/03/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NR1301X |
| License Number: | PS003254-L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Rural |
| Taxonomy Definition: | |