Individual
ELIZABETH WEINER MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
110 TAYLOR PL, SOUTHPORT, CT 06890-1196
(860) 614-6571
Mailing address
110 TAYLOR PL, SOUTHPORT, CT 06890-1196
(860) 614-6571
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
004570
CT
103T00000X
Psychologist
021036-1
NY
103T00000X
Psychologist
200001239
DC
Other
Enumeration date
10/12/2011
Last updated
04/16/2024
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