Individual
DR. LAWRENCE J MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
10000 BAY PINES BLVD, BAY PINES, FL 33744
(727) 398-6661
(727) 398-9569
Mailing address
6600 100TH WAY N APT 24A, ST PETERSBURG, FL 33708-4596
(727) 393-6290
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY2451
FL
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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