Individual
MELISSA JEAN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D., L.C.P.
Contact information
Practice address
432 W BELMONT AVE, #301, CHICAGO, IL 60657-4749
(773) 415-9732
Mailing address
432 W BELMONT AVE, #301, CHICAGO, IL 60657-4749
(773) 415-9732
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071007748
IL
Other
Enumeration date
04/26/2010
Last updated
04/26/2010
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