Individual
KIMBERLY W MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
3457 BROOK CROSSING DR, BRANDON, FL 33596
(813) 708-9157
(813) 600-5503
Mailing address
3457 BROOK CROSSING DR, BRANDON, FL 33596
(813) 708-9157
(813) 600-5503
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY 8794
FL
Other
Enumeration date
08/29/2013
Last updated
10/14/2013
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