| William Kerry Miller, Ph.d., Pc | |
|
4655 Dobie Rd Ste 265 Okemos MI 48864-2233 | |
| (517) 349-6145 | |
| Not Available |
| Full Name | William Kerry Miller, Ph.d., Pc |
|---|---|
| Speciality | Psychologist |
| Location | 4655 Dobie Rd Ste 265, Okemos, Michigan |
| Authorized Official Name and Position | William K Miller (PRESIDENT) |
| Authorized Official Contact | 5173395133 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| William Kerry Miller, Ph.d., Pc Po Box 465 Haslett MI 48840-0465 Ph: (517) 339-5133 | William Kerry Miller, Ph.d., Pc 4655 Dobie Rd Ste 265 Okemos MI 48864-2233 Ph: (517) 349-6145 |
| NPI Number | 1932229267 |
|---|---|
| Provider Enumeration Date | 03/30/2007 |
| Last Update Date | 03/21/2022 |
| Certification Date | 03/21/2022 |
| Medicare PECOS PAC ID | 4183699499 |
|---|---|
| Medicare Enrollment ID | O20040831000455 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932229267 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | William K Miller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730141656 PECOS PAC ID: 2062487374 Enrollment ID: I20040831000509 |
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