| Marian L Miller Psyd Inc | |
|
1454 Akeke Pl Kailua HI 96734-4218 | |
| (808) 262-3345 | |
| (808) 262-1017 |
| Full Name | Marian L Miller Psyd Inc |
|---|---|
| Speciality | Psychologist |
| Location | 1454 Akeke Pl, Kailua, Hawaii |
| Authorized Official Name and Position | Marian Louise Miller (PRESIDENT) |
| Authorized Official Contact | 8082623345 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marian L Miller Psyd Inc 1454 Akeke Pl Kailua HI 96734-4218 Ph: (808) 262-3345 | Marian L Miller Psyd Inc 1454 Akeke Pl Kailua HI 96734-4218 Ph: (808) 262-3345 |
| NPI Number | 1992897961 |
|---|---|
| Provider Enumeration Date | 09/28/2006 |
| Last Update Date | 11/12/2008 |
| Medicare PECOS PAC ID | 6709125586 |
|---|---|
| Medicare Enrollment ID | O20190222002178 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992897961 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY647 (Hawaii) | Primary |
| Provider Name | Marian L Miller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457364010 PECOS PAC ID: 9436172640 Enrollment ID: I20060112001008 |
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