Doctor Name: | H JOSEPH MILLER |
NPI Number: | 1265487888 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHD |
License Number: | 00646 |
Business Practice Address: | 41900 Fenwick St Suite 1 Leonardtown, MD - 206503813 |
Business Phone Number: | 3014759660 |
Business Fax Number: | 3014758810 |
Mailing Address: | 41900 Fenwick St, Suite 1 LEONARDTOWN |
State: | MD |
Postal Code: | 206503813 |
Phone Number: | 3014759660 |
Fax Number: | 3014758810 |
NPI Enumeration Date: | 05/23/2006 |
NPI Last Update Date: | 03/28/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TB0200X |
License Number: | 00646 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Cognitive & Behavioral |
Taxonomy Definition: |