Individual
KEITH MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
75 DOMINICAN RD, SUITE 207, LA PLACE, LA 70068-3400
(985) 224-2998
Mailing address
PO BOX 72, LA PLACE, LA 70069-0072
(504) 813-0071
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
—
—
Other
Enumeration date
06/08/2016
Last updated
06/08/2016
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