Individual
MEGAN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
5870 EL CAMINO REAL STE 101, CARLSBAD, CA 92008-8816
(760) 539-5818
Mailing address
5870 EL CAMINO REAL STE 101, CARLSBAD, CA 92008-8816
(760) 539-5818
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
14819
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801288535
—
CA
Enumeration date
11/29/2020
Last updated
11/29/2020
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