Organization
NICOLE HOFFMAN MILLER PSYD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLE MICHELE HOFFMAN MILLER PSYD (LICENSED CLINICAL PSYCHOLOGIST)
(540) 759-0037
Entity
Organization
Contact information
Practice address
606 S MARKET ST, SALEM, VA 24153-5012
(540) 759-0037
Mailing address
606 S MARKET ST, SALEM, VA 24153-5012
(540) 759-0037
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0810004434
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600754199
—
VA
Enumeration date
02/14/2018
Last updated
02/14/2018
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