# DAVID A. MILLER, PH.D., LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376080135
- **Authorized official:** DR. DAVID A. MILLER PH.D. (LICENSED PSYCHOLOGIST)
- **Authorized official phone:** (913) 345-0033

## Contact information

- **Practice address:** 8575 W. 110TH STREET, SUITE 218, OVERLAND PARK, KS 66210-2620
- **Practice address phone:** (913) 345-0033
- **Practice address fax:** (913) 345-0177
- **Mailing address:** 8575 W. 110TH STREET, SUITE 218, OVERLAND PARK, KS 66210-2620
- **Mailing address phone:** (913) 345-0033
- **Mailing address fax:** (913) 345-0177

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | 671 | KS | Yes |

## Other

- **Enumeration date:** 01/31/2017
- **Last updated:** 01/31/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 493440705 | — | MO |
| 05 | — | 4957144501 | — | KS |