Individual
DR. CAROLE L. KUNKLE-MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1720 WASHINGTON RD, SUITE 208, PITTSBURGH, PA 15241-1208
(412) 854-4887
(412) 386-3733
Mailing address
1720 WASHINGTON RD, SUITE 208, PITTSBURGH, PA 15241-1208
(412) 854-4887
(412) 386-3733
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS004214L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
081894
MEDICARE PTAN
PA
01
—
1336286772
NPI JA
PA
01
—
139591
BLUE CROSS
PA
01
—
1417062480
NPI
PA
01
—
1457375784
NPI
PA
01
—
1485089
BLUE SHIELD
PA
01
—
1588704944
NPI
PA
01
—
1619196987
GROUP NPI
PA
01
—
630614
BLUE CROSS GROUP
PA
Enumeration date
08/23/2006
Last updated
01/09/2014
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