Doctor Name: | DR. MARIE A MILLER |
NPI Number: | 1295039287 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | PSY25294 |
Business Practice Address: | 31625 Highway Hwy 101 Soledad, CA - 93960 |
Business Phone Number: | 8312471301 |
Business Fax Number: | |
Mailing Address: | Po Box 6518, SALINAS |
State: | CA |
Postal Code: | 939126518 |
Phone Number: | 8312471301 |
Fax Number: | |
NPI Enumeration Date: | 01/05/2011 |
NPI Last Update Date: | 10/19/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PSY25294 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |