Doctor Name: | COLLEEN A MILLER |
NPI Number: | 1346265485 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | RO50997-1 |
Business Practice Address: | 138 N Court St. Veterans Memorial Building Wampsville, NY - 131630608 |
Business Phone Number: | 3153662327 |
Business Fax Number: | 3153662599 |
Mailing Address: | 5733 E Lake Rd, CAZENOVIA |
State: | NY |
Postal Code: | 130359324 |
Phone Number: | 3156552740 |
Fax Number: | |
NPI Enumeration Date: | 07/12/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | RO50997-1 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |