Organization
PENNY MILLER, PHD
Active
Other names
Access Mediation
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PENNY JEAN MILLER PHD (CLINICAL PSYCHOLOGIST)
(814) 274-8346
Entity
Organization
Contact information
Practice address
73 ELK ST, COUDERSPORT, PA 16915-9601
(814) 274-8346
Mailing address
73 ELK ST, COUDERSPORT, PA 16915-9601
(814) 274-8346
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
PS003254-L
PA
Other
Enumeration date
09/03/2015
Last updated
09/03/2015
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