Jonathan M Miller in Eagan - Clinical Neuropsychologist

Jonathan M Miller - NPI 1992790117

Jonathan M Miller is a Clinical Neuropsychologist in Eagan, Minnesota. Jonathan M Miller practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Jonathan M Miller is 1992790117. The last update date is 2019-06-11.

Jonathan M Miller's current location address is 2113 Cliff Dr, Eagan, Minnesota. You can contact this provider via phone number 6517280922. The mailing address for Jonathan M Miller is 2113 Cliff Dr, Eagan, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Jonathan M Miller
Address 2113 Cliff Dr, Eagan, Minnesota
Phone Number 6517280922
Fax Number
Sole Proprietor Y
Credentials PHD LP

NPI Number Detail

NPI Number 1992790117
Provider Enumeration Date 2005-09-14
Last Updated Date 2019-06-11

Provider Mailing Address Detail

Address 2113 Cliff Dr
City Eagan
State Minnesota (MN)
Post Code 551223327
Phone Number 6517280922
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical Neuropsychologist
Taxonomy 103G00000X
Licence No LP4000
Definition:
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
228524000 MN --

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FAQs about Jonathan M Miller

What is the unique 10-digit identifier code assigned to Jonathan M Miller by the Centers for Medicare & Medicaid Services?

The Jonathan M Miller has been issued the NPI (National Provider Identifier) 1992790117 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Jonathan M Miller is geographically located?

The Jonathan M Miller is physically situated at the following location: 2113 Cliff Dr, Eagan, MN, 551223327.

What is Jonathan M Miller's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Jonathan M Miller is Clinical Neuropsychologist, and the taxonomy code that categorizes this field of expertise is 103G00000X.

On what date did Jonathan M Miller receive its 1992790117 assignment from the Centers for Medicare & Medicaid Services?

The Jonathan M Miller was assigned its 1992790117 on 2005-09-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Jonathan M Miller, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Jonathan M Miller, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-06-11.

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