Individual
DR. SHANNON MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
709 MILAN HILL RD, RED HOOK, NY 12571-4345
(845) 758-2874
Mailing address
709 MILAN HILL RD, RED HOOK, NY 12571-4345
(845) 758-2874
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
018430
NY
Other
Enumeration date
11/29/2011
Last updated
11/29/2011
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