Individual
DR. I. SHUJAA KEINO MILLER I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-6765
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY61412054
WA
Other
Enumeration date
08/23/2020
Last updated
04/19/2023
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