Individual
DR. MILES DILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
489 MAIN ST, PRINCE FREDERICK, MD 20678-3187
(410) 535-3947
(301) 609-9091
Mailing address
PO BOX 2924, LA PLATA, MD 20646-2984
(301) 609-9887
(301) 609-9091
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
02457
MD
103TC0700X
Clinical Psychologist
723
NM
103TS0200X
School Psychologist
267420
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z4787
—
NM
Enumeration date
02/09/2007
Last updated
11/12/2014
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