Individual
DR. KATHERYNE KOPP MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D., HSPP
Contact information
Practice address
120 W 7TH ST STE 108, BLOOMINGTON, IN 47404-3835
(765) 425-3412
Mailing address
703 3RD ST, WEST LAFAYETTE, IN 47907-2081
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20042575A
IN
Other
Enumeration date
10/02/2013
Last updated
04/21/2024
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