Individual
JOCELYN R MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2901 HUNTERS TRL, PAUQUETTE CENTER - COMMUNITY SERVICE ASSOCIATES, PORTAGE, WI 53901-3403
(608) 742-5518
(608) 742-4087
Mailing address
2901 HUNTERS TRL, PAUQUETTE CENTER - COMMUNITY SERVIDE ASSOCIATES, PORTAGE, WI 53901-3403
(608) 742-5518
(608) 742-4087
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1811-057
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3577
DEAN HEALTH INSURANCE
WI
05
—
39105100
—
WI
Enumeration date
06/15/2006
Last updated
04/07/2010
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