Individual
DR. SCOTT RICHARD MILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
261 MACK AVE, REHABILITATION INSTITUTE OF MICHIGAN, RM 552, DETROIT, MI 48201-2417
(313) 993-8085
Mailing address
261 MACK AVE, REHABILITATION INSTITUTE OF MICHIGAN, RM 552, DETROIT, MI 48201-2417
(313) 993-8085
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
6301007792
MI
103TC0700X
Clinical Psychologist
Primary
6301007792
MI
Other
Enumeration date
07/26/2005
Last updated
09/11/2025
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