Individual
DR. ANDREW JAMES MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD, HSPP
Contact information
Practice address
12948 COLDWATER RD STE 101, FORT WAYNE, IN 46845-8016
(260) 373-0880
(260) 373-0881
Mailing address
1605 ALABAMA AVE, FORT WAYNE, IN 46805-5011
(260) 373-0880
(260) 373-0881
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
39001777A
IN
103TC0700X
Clinical Psychologist
Primary
20042470A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201010850
—
IN
Enumeration date
07/12/2006
Last updated
04/18/2024
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