Individual
DR. GLENN REX MILLER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
5900 E VIRGINIA BEACH BLVD, SUITE 102, NORFOLK, VA 23502-2530
(757) 714-1838
(757) 321-6269
Mailing address
PO BOX 13296, CHESAPEAKE, VA 23325-0296
(757) 714-1838
(757) 321-6269
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810000350
VA
Other
Enumeration date
02/01/2007
Last updated
11/05/2014
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