James E. Miller, Ph.d., Psychologist, Pc | |
153 Baltimore St Third Floor; Suite 1 Cumberland MD 21502-2301 | |
(301) 724-4081 | |
Not Available |
Full Name | James E. Miller, Ph.d., Psychologist, Pc |
---|---|
Speciality | Psychologist |
Location | 153 Baltimore St, Cumberland, Maryland |
Authorized Official Name and Position | James E. Miller (DIRECTOR) |
Authorized Official Contact | 3017244081 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
James E. Miller, Ph.d., Psychologist, Pc 308 Schley St Cumberland MD 21502-2031 Ph: (301) 724-4081 | James E. Miller, Ph.d., Psychologist, Pc 153 Baltimore St Third Floor; Suite 1 Cumberland MD 21502-2301 Ph: (301) 724-4081 |
NPI Number | 1871909317 |
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Provider Enumeration Date | 07/04/2014 |
Last Update Date | 07/04/2014 |
Medicare PECOS PAC ID | 5092938431 |
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Medicare Enrollment ID | O20140603001699 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871909317 | NPI | - | NPPES |
408100500 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 01459 (Maryland) | Primary |
Provider Name | James E Miller |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1043437247 PECOS PAC ID: 3971729567 Enrollment ID: I20140716002040 |
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