Individual
MS. LAUREN ELYSE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 955-0660
(414) 955-0076
Mailing address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 955-0660
(414) 955-0076
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3954
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245780774
—
WI
Enumeration date
10/07/2016
Last updated
09/08/2021
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