| Nicole Hoffman Miller Psyd Llc | |
|
606 S Market St Salem VA 24153-5012 | |
| (540) 759-0037 | |
| Not Available |
| Full Name | Nicole Hoffman Miller Psyd Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 606 S Market St, Salem, Virginia |
| Authorized Official Name and Position | Nicole Michele Hoffman Miller (LICENSED CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 5407590037 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Hoffman Miller Psyd Llc 606 S Market St Salem VA 24153-5012 Ph: (540) 759-0037 | Nicole Hoffman Miller Psyd Llc 606 S Market St Salem VA 24153-5012 Ph: (540) 759-0037 |
| NPI Number | 1710487970 |
|---|---|
| Provider Enumeration Date | 02/14/2018 |
| Last Update Date | 02/14/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710487970 | NPI | - | NPPES |
| 600754199 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0810004434 (Virginia) | Primary |
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