Individual
DR. JACQUELYN MARIE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
550 S GODDARD BLVD, KING OF PRUSSIA, PA 19406-2922
(215) 606-8745
Mailing address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 606-8745
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS019525
PA
Other
Enumeration date
03/11/2022
Last updated
03/11/2022
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