# KYLEEMILLERPHD

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

## Provider details

- **NPI number:** 1619583408
- **Authorized official:** DR. KYLEE MARIE MILLER PHD (CLINICAL PSYCHOLOGIST)
- **Authorized official phone:** (919) 428-5263

## Contact information

- **Practice address:** 586 WELCOME WAY SE, SALEM, OR 97302-3932
- **Practice address phone:** (919) 428-5263
- **Mailing address:** 586 WELCOME WAY SE, SALEM, OR 97302-3932
- **Mailing address phone:** (919) 428-5263

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | — | NULL | — |
| 103T00000X | Psychologist | — | — | — |
| 261QD1600X | Developmental Disabilities Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/17/2020
- **Last updated:** 09/17/2020