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Individual

DR. ANNE BOTTIMORE MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
1400 W NORTHWEST HWY, SUITE 200, GRAPEVINE, TX 76051-8113
(972) 754-9503
Mailing address
1400 W NORTHWEST HWY, SUITE 200, GRAPEVINE, TX 76051-8113
(972) 754-9503

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
32261
TX
103TC0700X
Clinical Psychologist
Primary
32261
TX
103TH0004X
Health Psychologist
32261
TX

Other

Enumeration date
08/20/2009
Last updated
08/20/2009
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