Kathryn Brevard Miller in Golden Valley - Clinical
Kathryn Brevard Miller - NPI 1558305565
Kathryn Brevard Miller is a Clinical in Golden Valley, Minnesota. Kathryn Brevard Miller practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kathryn Brevard Miller is 1558305565. The last update date is 2008-05-20.
Kathryn Brevard Miller's current location address is 5101 Olson Memorial Hwy, Golden Valley, Minnesota. You can contact this provider via phone number 7635957294 and fax number 7635957293. The mailing address for Kathryn Brevard Miller is 5101 Olson Memorial Hwy, Golden Valley, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kathryn Brevard Miller |
|---|---|
| Address | 5101 Olson Memorial Hwy, Golden Valley, Minnesota |
| Phone Number | 7635957294 |
| Fax Number | 7635957293 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1558305565 |
|---|---|
| Provider Enumeration Date | 2006-06-16 |
| Last Updated Date | 2008-05-20 |
Provider Mailing Address Detail
| Address | 5101 Olson Memorial Hwy |
|---|---|
| City | Golden Valley |
| State | Minnesota (MN) |
| Post Code | 554225149 |
| Phone Number | 7635957294 |
| Fax Number | 7635957293 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 4359 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 365LOMI | MN | BLUECROSSBLUESHIELD | |
| 128427400 | MN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Kathryn Brevard Miller by the Centers for Medicare & Medicaid Services?
The Kathryn Brevard Miller has been issued the NPI (National Provider Identifier) 1558305565, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Kathryn Brevard Miller is located?
The Kathryn Brevard Miller is situated at the following address: 5101 Olson Memorial Hwy, Golden Valley, MN, 554225149.
What is the Kathryn Brevard Miller's specialty and taxonomy code?
The Kathryn Brevard Miller's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
When did the Kathryn Brevard Miller receive its 1558305565?
The Kathryn Brevard Miller was issued its 1558305565 on 2006-06-16, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Kathryn Brevard Miller, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kathryn Brevard Miller, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-05-20.