Charles Miller, PSYD, LCP | |
250 Memorial Dr Ste B, Luray, VA 22835-1000 | |
(540) 568-1735 | |
Not Available |
Full Name | Charles Miller |
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Gender | Male |
Speciality | Psychologist - Clinical |
Location | 250 Memorial Dr Ste B, Luray, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386340545 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 0810008068 (Virginia) | Primary |
Entity Name | James Madison University |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730642000 PECOS PAC ID: 4880917475 Enrollment ID: O20200121000225 |
Mailing Address | Practice Location Address |
---|---|
Charles Miller, PSYD, LCP 213 Morningside Dr, Broadway, VA 22815-9751 Ph: (703) 975-5821 | Charles Miller, PSYD, LCP 250 Memorial Dr Ste B, Luray, VA 22835-1000 Ph: (540) 568-1735 |
Jonathan Lineburg, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 735 W Main St, Luray, VA 22835 Phone: 540-743-6533 | |
Dr. Janyce Leanne Sletten, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 151 Reservoir Ave, Luray, VA 22835 Phone: 540-743-4492 Fax: 540-743-3490 | |
Shannon Dubois, S.S.P. NCSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 735 W Main St, Luray, VA 22835 Phone: 540-743-6533 |