Individual
DR. MARY ABIGAIL STIFF MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1161 E BROADWAY, LOUISVILLE, KY 40204-1711
(502) 561-0952
Mailing address
2024 SPEED AVE, LOUISVILLE, KY 40205-1236
(502) 767-8798
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1524
KY
Other
Enumeration date
12/30/2008
Last updated
01/08/2009
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