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Individual

H JOSEPH MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
41900 FENWICK ST, SUITE 1, LEONARDTOWN, MD 20650-3813
(301) 475-9660
(301) 475-8810
Mailing address
41900 FENWICK ST, SUITE 1, LEONARDTOWN, MD 20650-3813
(301) 475-9660
(301) 475-8810

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
00646
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
097444
MHN
MD
01
1020836
MDIPA
MD
01
517B 34231007
BCBS
MD
01
7257009
AETNA
MD
01
B9500002
BCBS NCA
MD
01
PVPB105466
APS
MD
Enumeration date
05/23/2006
Last updated
03/28/2008
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