Doctor Name: | DR. PETER DONALD MILLS |
NPI Number: | 1255342655 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D., M.S. |
License Number: | 635 |
Business Practice Address: | 11q Vamc White River Jct 215 N. Main Street White River Junction, VT - 050090001 |
Business Phone Number: | 8022959363 |
Business Fax Number: | 8022916286 |
Mailing Address: | 48 Middle Rd E, NORWICH |
State: | VT |
Postal Code: | 050559329 |
Phone Number: | 8026491610 |
Fax Number: | |
NPI Enumeration Date: | 08/10/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | 635 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |