Individual
KATHARINE L MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
2430 W HORIZON RIDGE PKWY, HENDERSON, NV 89052-2729
(702) 247-9994
Mailing address
2430 W HORIZON RIDGE PKWY, HENDERSON, NV 89052-2729
(702) 247-9994
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
1039
KS
103G00000X
Clinical Neuropsychologist
Primary
PY1023
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11758846
CAQH
—
05
—
200437150A
—
KS
01
—
839984
BCBS
KS
Enumeration date
07/26/2006
Last updated
08/11/2021
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