Dorit Miller Psyd ,, A Psychological Corporation | |
2001 S Barrington Ave Suite # 110 Los Angeles CA 90025-5363 | |
(310) 485-1515 | |
(310) 477-4688 |
Full Name | Dorit Miller Psyd ,, A Psychological Corporation |
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Speciality | Psychologist |
Location | 2001 S Barrington Ave, Los Angeles, California |
Authorized Official Name and Position | Dorit Miller (OWNER) |
Authorized Official Contact | 3104851515 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dorit Miller Psyd ,, A Psychological Corporation 2001 S Barrington Ave Suite # 110 Los Angeles CA 90025-5363 Ph: (310) 485-1515 | Dorit Miller Psyd ,, A Psychological Corporation 2001 S Barrington Ave Suite # 110 Los Angeles CA 90025-5363 Ph: (310) 485-1515 |
NPI Number | 1972735405 |
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Provider Enumeration Date | 08/17/2009 |
Last Update Date | 06/09/2021 |
Certification Date | 06/09/2021 |
Medicare PECOS PAC ID | 6002953544 |
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Medicare Enrollment ID | O20091102000349 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972735405 | NPI | - | NPPES |
PSY18237 | Other | CA | CALIFORNIA LICENCE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PSY18237 (California) | Primary |
Provider Name | Dorit Miller |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1093747826 PECOS PAC ID: 8527067495 Enrollment ID: I20061204000640 |
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