Individual
DR. BRUCE VICTOR MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
125 COULTER AVE, ARDMORE, PA 19003
(610) 642-4873
(610) 642-4886
Mailing address
125 COULTER AVE, ARDMORE, PA 19003
(610) 642-4873
(610) 642-4886
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS00231L
PA
Other
Enumeration date
06/01/2007
Last updated
07/08/2007
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