Individual
DR. LUZ SELENIA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
760 BROADWAY # 5A-112, BROOKLYN, NY 11206-5317
(718) 963-8379
Mailing address
202 QUEBEC RD, ISLAND PARK, NY 11558-1526
(516) 889-6232
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
012583
NY
Other
Enumeration date
09/13/2006
Last updated
07/08/2007
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