Individual
DR. MAIA REBECCA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
304 W 75TH ST, NEW YORK, NY 10023-1689
(212) 796-5077
Mailing address
304 W 75TH ST, NEW YORK, NY 10023-1689
(212) 796-5077
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
68018325
NY
Other
Enumeration date
08/13/2010
Last updated
01/06/2011
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