Individual
DR. MACKENZIE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D., LP
Contact information
Practice address
800 E 28TH ST, MINNEAPOLIS, MN 55407-3723
(612) 863-4000
Mailing address
5790 BARTLETT BLVD, MOUND, MN 55364-1401
(612) 910-7245
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP5139
MN
Other
Enumeration date
01/18/2022
Last updated
01/18/2022
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