Individual
BRIAN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1481 W 10TH ST, (117), INDIANAPOLIS, IN 46202-2803
(317) 988-4583
Mailing address
1481 W 10TH ST, (117), INDIANAPOLIS, IN 46202-2803
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
20042367A
IN
103TC0700X
Clinical Psychologist
20042367A
IN
Other
Enumeration date
08/31/2009
Last updated
04/21/2025
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