Doctor Name: | DONALD J MILLER |
NPI Number: | 1689721441 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MALLP |
License Number: | 6301007500 |
Business Practice Address: | 112 E Chart St Plainwell, MI - 490801768 |
Business Phone Number: | 2696856363 |
Business Fax Number: | 2696859559 |
Mailing Address: | 1107 Lane Blvd, KALAMAZOO |
State: | MI |
Postal Code: | 490013894 |
Phone Number: | 2693495084 |
Fax Number: | |
NPI Enumeration Date: | 01/04/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | 6301007500 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |