Individual
DR. WILEY MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
300 SAINT JAMES ST, SUITE 104, COLUMBIA, MO 65201-5160
(573) 864-8574
Mailing address
PO BOX 7382, COLUMBIA, MO 65205-7382
(573) 864-8574
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0467
MO
Other
Enumeration date
04/07/2007
Last updated
03/04/2015
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