Individual
DR. SUSAN BETH MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SUSAN MILLER
Contact information
Practice address
202 E WASHINGTON ST, #508, ANN ARBOR, MI 48104-2017
(734) 995-0416
Mailing address
202 E WASHINGTON ST, #508, ANN ARBOR, MI 48104-2017
(734) 665-0791
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301003801
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6301003801
LICENSE
MI
01
—
680H14642
BCBSM
MI
Enumeration date
01/08/2007
Last updated
07/08/2007
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