Individual
NICOLE ANN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2075 E WEST MAPLE RD STE B-208, COMMERCE TOWNSHIP, MI 48390-3816
(248) 921-5536
Mailing address
4254 W WOODS EDGE LN, MUNCIE, IN 47304-6087
(248) 921-5536
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301018208
MI
Other
Enumeration date
07/19/2018
Last updated
10/22/2019
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