Individual
DR. ROSELYNN E MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1112 WARRENHALL LN NE, BROOKHAVEN, GA 30319-1938
(404) 919-7721
Mailing address
1112 WARRENHALL LN NE, BROOKHAVEN, GA 30319-1938
(404) 594-0004
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1591
AL
103TC0700X
Clinical Psychologist
Primary
PSY003394
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121175
—
AL
05
—
725279494B
—
GA
Enumeration date
03/26/2007
Last updated
01/18/2017
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