Individual
CHARLES MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D., LCP
Contact information
Practice address
250 MEMORIAL DR STE B, LURAY, VA 22835-1000
(540) 568-1735
Mailing address
213 MORNINGSIDE DR, BROADWAY, VA 22815-9751
(703) 975-5821
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810008068
VA
Other
Enumeration date
01/31/2023
Last updated
01/31/2023
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