Doctor Name: | MR. RICHARD KEVIN MILLER |
NPI Number: | 1417062480 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M. ED. |
License Number: | PS007898L |
Business Practice Address: | 1720 Washington Rd Suite 201 Upper St Clair, PA - 152411208 |
Business Phone Number: | 4125616776 |
Business Fax Number: | 4123432130 |
Mailing Address: | 520 Washington Rd, Suite 206 MOUNT LEBANON |
State: | PA |
Postal Code: | 152282819 |
Phone Number: | 4125616776 |
Fax Number: | 4123432130 |
NPI Enumeration Date: | 08/20/2006 |
NPI Last Update Date: | 09/26/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | PS007898L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |