Individual
MICHAEL DILLER
Active
Individual
MICHAEL DILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS008945L
PA
103TB0200X
Cognitive & Behavioral Psychologist
PS008945L
PA
103TC0700X
Clinical Psychologist
Primary
PS008945L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01097201
CAPITAL BLUE CROSS
PA
01
—
2176876
CIGNA BEHAVIORAL HEALTH
PA
01
—
231126000
MAGELLAN
PA
01
—
291102
MAMSI
PA
01
—
455629
VALUE OPTIONS
PA
01
—
DI340545
PA BLUE SHIELD
PA
Enumeration date
06/16/2006
Last updated
06/13/2016
Update your record
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