Individual
STEPHANIE NICOLE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3211 W DE LEON ST, #17, TAMPA, FL 33609-4689
(765) 617-5806
Mailing address
3211 W DE LEON ST, #17, TAMPA, FL 33609-4689
(765) 617-5806
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2010006121
MO
Other
Enumeration date
09/08/2010
Last updated
01/16/2014
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