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Individual

CHERI L. MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
303 N HERSHEY RD STE D1, BLOOMINGTON, IL 61704-7720
(309) 268-3529
(309) 268-2323
Mailing address
PO BOX 2451, BLOOMINGTON, IL 61702-2451
(309) 268-2172
(309) 268-3649

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071006052
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
05732028
BLUE CROSS BLUE SHIELD
Enumeration date
07/25/2006
Last updated
04/20/2022
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