Organization
CIPM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VENERA R MILLER M.D. (OWNER)
(410) 535-6520
Entity
Organization
Contact information
Practice address
242 MERRIMAC COURT, PRINCE FREDERICK, MD 20678-0022
(410) 535-6520
(410) 535-6523
Mailing address
PO BOX 22, PRINCE FREDERICK, MD 20678-0022
(410) 535-6520
(410) 535-6523
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
—
—
103K00000X
Behavior Analyst
—
—
104100000X
Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/06/2008
Last updated
03/03/2025
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