| Doctor Name: | DR. MICHAEL G. MILLER |
| NPI Number: | 1508052523 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | 35S100116100 |
| Business Practice Address: | 399 Clove Rd Montague, NJ - 078273014 |
| Business Phone Number: | 9088397913 |
| Business Fax Number: | |
| Mailing Address: | P.o. Box 223, 107 N. Hemlock Ln GREENTOWN |
| State: | PA |
| Postal Code: | 184260223 |
| Phone Number: | 9088397913 |
| Fax Number: | |
| NPI Enumeration Date: | 09/24/2007 |
| NPI Last Update Date: | 04/08/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 35S100116100 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |