| Kimberly W. Miller, Psy.d., P.a. | |
|
3457 Brook Crossing Dr Brandon FL 33511-8181 | |
| (510) 708-5973 | |
| Not Available |
| Full Name | Kimberly W. Miller, Psy.d., P.a. |
|---|---|
| Speciality | Psychologist |
| Location | 3457 Brook Crossing Dr, Brandon, Florida |
| Authorized Official Name and Position | Kimberly W Miller (PRESIDENT) |
| Authorized Official Contact | 5107085973 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly W. Miller, Psy.d., P.a. 3457 Brook Crossing Dr Brandon FL 33511 Ph: (510) 708-5973 | Kimberly W. Miller, Psy.d., P.a. 3457 Brook Crossing Dr Brandon FL 33511-8181 Ph: (510) 708-5973 |
| NPI Number | 1275969453 |
|---|---|
| Provider Enumeration Date | 09/19/2013 |
| Last Update Date | 11/21/2013 |
| Medicare PECOS PAC ID | 6305071267 |
|---|---|
| Medicare Enrollment ID | O20131030001302 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275969453 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY8794 (Florida) | Primary |
| Provider Name | Kimberly W Miller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851725584 PECOS PAC ID: 8921242249 Enrollment ID: I20130926000195 |
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