Individual
DR. MICHAEL MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
650 MADISON ST, SYRACUSE, NY 13210-2319
(315) 426-6856
Mailing address
650 MADISON ST, SYRACUSE, NY 13210-2319
(315) 426-6856
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
018187-1
NY
Other
Enumeration date
04/30/2010
Last updated
04/30/2010
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