Individual
THERESA ANN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
5600 WYOMING BLVD NE, SUITE 240, ALBUQUERQUE, NM 87109
(505) 384-7353
(505) 384-7354
Mailing address
PO BOX 94508, ALBUQUERQUE, NM 87199-4508
(505) 384-7353
(505) 384-7354
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
NM786
NM
103TC1900X
Counseling Psychologist
Primary
0786
NM
Other
Enumeration date
03/22/2006
Last updated
07/31/2018
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