Individual
MISTY CLARK MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30145 VINEYARD RD, WILLOWICK, OH 44095-4924
(440) 479-9796
Mailing address
30145 VINEYARD RD, WILLOWICK, OH 44095-4924
(440) 479-9796
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
Other
Enumeration date
11/13/2025
Last updated
11/13/2025
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