Organization
CEDAR RIVER COUNSELING & EDUCATIONAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STANLEY R MILLER PSY.D.,L.P. (DIRECTOR/PSYCHOLOGIST)
(507) 433-6482
Entity
Organization
Contact information
Practice address
1403 15TH AVE NW, AUSTIN, MN 55912-1911
(507) 433-6482
(507) 433-0097
Mailing address
1403 15TH AVE NW, AUSTIN, MN 55912-1911
(507) 433-6482
(507) 433-0097
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP3235
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265413777
—
MN
Enumeration date
11/09/2005
Last updated
06/16/2009
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