Individual
ELIZABETH MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115 S LUDLOW ST, DAYTON, OH 45402-1812
(937) 542-4994
Mailing address
115 S LUDLOW ST, DAYTON, OH 45402-1812
(937) 542-4994
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20784420
OH
Other
Enumeration date
10/13/2016
Last updated
10/13/2016
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