Individual
MS. JENNIFER R. MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
117 W 72ND ST FL 3, NEW YORK, NY 10023-3204
(212) 799-7777
Mailing address
72 REDWOOD RD, SAG HARBOR, NY 11963-2634
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
025852
NY
103TC0700X
Clinical Psychologist
025852
NY
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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