Organization
BLUE SPRINGS PSYCHOLOGICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY LEO MILLER PHD (OWNER)
(816) 224-6500
Entity
Organization
Contact information
Practice address
1924 NW COPPER OAKS CIR, BLUE SPRINGS, MO 64015-8300
(816) 224-6500
(816) 224-2777
Mailing address
1924 NW COPPER OAKS CIR, BLUE SPRINGS, MO 64015-8300
(816) 224-6500
(816) 224-2777
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY00986
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1700806098
NPI TYPE 1
MO
Enumeration date
05/22/2007
Last updated
11/20/2012
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