Individual
LISA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
619 N 35TH ST STE 202, SEATTLE, WA 98103-8640
(206) 480-8361
Mailing address
2400 NE 95TH ST, SEATTLE, WA 98115-2426
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY60862001
WA
Other
Enumeration date
12/03/2007
Last updated
12/05/2018
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