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Individual

MICHAEL MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD, HSPP

Contact information

Practice address
1530 N COMMERCE WEST DR, GREENSBURG, IN 47240-3205
(812) 663-7057
(812) 663-6735
Mailing address
645 S ROGERS ST, BLOOMINGTON, IN 47403-2353
(812) 339-1691
(812) 337-2438

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
39001698A
IN
103TC0700X
Clinical Psychologist
Primary
20042717A
IN

Other

Enumeration date
02/03/2006
Last updated
03/04/2014
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