Individual
SCOTT G MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D
Contact information
Practice address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-2599
(612) 904-4303
Mailing address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-3000
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
LP3234
MN
103T00000X
Psychologist
Primary
LP3234
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
152148
BEHAVIORAL HEALTHCARE
MN
01
—
61-56933
UNITED BEHAVIORAL HEALTH
MN
01
—
680010435
MEDICARE RAILROAD
MN
Enumeration date
06/15/2006
Last updated
05/05/2026
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