| Doctor Name: | DR. JENNIFER LYNNE MILLER |
| NPI Number: | 1366761629 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D., LP |
| License Number: | LP4367 |
| Business Practice Address: | 110 2nd St S Suite #303 Waite Park, MN - 563871662 |
| Business Phone Number: | 3202176025 |
| Business Fax Number: | |
| Mailing Address: | 110 2nd St S, Suite #303 WAITE PARK |
| State: | MN |
| Postal Code: | 563871662 |
| Phone Number: | 3202176025 |
| Fax Number: | |
| NPI Enumeration Date: | 05/26/2010 |
| NPI Last Update Date: | 09/01/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC1900X |
| License Number: | LP4367 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Counseling |
| Taxonomy Definition: | |