| Dr. Meghan Jackson Miller Psychological Services Pc | |
|
1560 Pelham Pkwy S Suite 1c Bronx NY 10461-1114 | |
| (917) 992-1569 | |
| (718) 329-0267 |
| Full Name | Dr. Meghan Jackson Miller Psychological Services Pc |
|---|---|
| Speciality | Psychologist |
| Location | 1560 Pelham Pkwy S, Bronx, New York |
| Authorized Official Name and Position | Meghan Jackson Miller (OWNER) |
| Authorized Official Contact | 9179921569 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Meghan Jackson Miller Psychological Services Pc 68 E Hartsdale Ave Apt 3l Hartsdale NY 10530-2710 Ph: (917) 992-1569 | Dr. Meghan Jackson Miller Psychological Services Pc 1560 Pelham Pkwy S Suite 1c Bronx NY 10461-1114 Ph: (917) 992-1569 |
| NPI Number | 1437494804 |
|---|---|
| Provider Enumeration Date | 12/11/2012 |
| Last Update Date | 05/12/2015 |
| Medicare PECOS PAC ID | 9436478682 |
|---|---|
| Medicare Enrollment ID | O20150511000144 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437494804 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 019103 (New York) | Primary |
| Provider Name | Meghan J Miller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063706869 PECOS PAC ID: 4284812215 Enrollment ID: I20110622000451 |
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