Individual
DR. JEFFREY LEO MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1924 NW COPPER OAKS CIR, BLUE SPRINGS, MO 64015-8300
(816) 224-6500
(816) 224-2777
Mailing address
1924 NW COPPER OAKS CIR, BLUE SPRINGS, MO 64015-8300
(816) 224-6500
(816) 224-2777
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY00986
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09779039
BLUE CROSS ID
MO
01
—
PY00986
MISSOURI LICENSE NUMBER
MO
Enumeration date
07/20/2006
Last updated
07/08/2007
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