Individual
DR. JEROME M MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
400 MAYNARD ST, SUITE 503, ANN ARBOR, MI 48104-2440
(734) 761-5347
(734) 663-4327
Mailing address
400 MAYNARD ST, SUITE 503, ANN ARBOR, MI 48104-2440
(734) 761-5347
(734) 663-4327
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301001918
MI
Other
Enumeration date
06/13/2006
Last updated
07/08/2007
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