| Dr. Katy Kopp Miller, Llc | |
|
120 W 7th St Ste 108 Bloomington IN 47404-3835 | |
| (765) 425-3412 | |
| Not Available |
| Full Name | Dr. Katy Kopp Miller, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 120 W 7th St Ste 108, Bloomington, Indiana |
| Authorized Official Name and Position | Katheryne Kopp Miller (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7654253412 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Katy Kopp Miller, Llc 120 W 7th St Ste 108 Bloomington IN 47404-3835 Ph: (765) 425-3412 | Dr. Katy Kopp Miller, Llc 120 W 7th St Ste 108 Bloomington IN 47404-3835 Ph: (765) 425-3412 |
| NPI Number | 1003661299 |
|---|---|
| Provider Enumeration Date | 04/22/2024 |
| Last Update Date | 04/22/2024 |
| Certification Date | 04/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003661299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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