| Paul King-miller Psyd Lpcc Llc | |
|
11216 Brentwood Hills Blvd Ne Albuquerque NM 87112-3219 | |
| (505) 670-4684 | |
| Not Available |
| Full Name | Paul King-miller Psyd Lpcc Llc |
|---|---|
| Speciality | Psychologist - Prescribing (medical) |
| Location | 11216 Brentwood Hills Blvd Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Paul King-miller (ONER) |
| Authorized Official Contact | 5056704684 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paul King-miller Psyd Lpcc Llc 11216 Brentwood Hills Blvd Ne Albuquerque NM 87112-3219 Ph: (505) 670-4684 | Paul King-miller Psyd Lpcc Llc 11216 Brentwood Hills Blvd Ne Albuquerque NM 87112-3219 Ph: (505) 670-4684 |
| NPI Number | 1245856913 |
|---|---|
| Provider Enumeration Date | 06/18/2020 |
| Last Update Date | 06/18/2020 |
| Certification Date | 06/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245856913 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP0016X | Psychologist - Prescribing (medical) | (* (Not Available)) | Primary |
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