Individual
DR. JILLIAN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
140 W 97TH ST, NEW YORK, NY 10025-6450
(917) 903-7058
Mailing address
140 W 97TH ST, NEW YORK, NY 10025-6450
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
018981
NY
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
018981
NY
Other
Enumeration date
09/23/2008
Last updated
10/07/2013
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