| Diane W. Miller, Msw, Lcsw, Llc | |
|
133 N 4th St Easton PA 18042-3518 | |
| (610) 349-3836 | |
| Not Available |
| Full Name | Diane W. Miller, Msw, Lcsw, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 133 N 4th St, Easton, Pennsylvania |
| Authorized Official Name and Position | Diane W. Miller (SOLE PROPRIETOR) |
| Authorized Official Contact | 6103493836 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diane W. Miller, Msw, Lcsw, Llc 133 N 4th St Easton PA 18042-3518 Ph: (610) 349-3836 | Diane W. Miller, Msw, Lcsw, Llc 133 N 4th St Easton PA 18042-3518 Ph: (610) 349-3836 |
| NPI Number | 1902124258 |
|---|---|
| Provider Enumeration Date | 05/11/2010 |
| Last Update Date | 05/11/2010 |
| Medicare PECOS PAC ID | 7315079001 |
|---|---|
| Medicare Enrollment ID | O20100715000561 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902124258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | CW015536 (Pennsylvania) | Primary |
| Provider Name | Diane W Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962681957 PECOS PAC ID: 3577695261 Enrollment ID: I20100715000595 |
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