Individual
EVA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3651 LINDELL RD, STE D396, LAS VEGAS, NV 89103-1254
(956) 994-3880
Mailing address
3651 LINDELL RD, STE D396, LAS VEGAS, NV 89103-1254
(956) 207-1725
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
PY0772
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1473233-01
—
TX
Enumeration date
01/16/2007
Last updated
09/27/2019
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