Individual
DR. BRETT CHRISTOPHER MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
320 MAC BLVD, NEVADA, MO 64772-3990
(888) 403-1071
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2012036303
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922358613
—
MO
Enumeration date
09/11/2012
Last updated
03/26/2019
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