Bruce Victor Miller in Ardmore - Clinical
Bruce Victor Miller - NPI 1003018151
Bruce Victor Miller is a Clinical in Ardmore, Pennsylvania. Bruce Victor Miller practices all healthcare services and medical treatments related to Clinical. The NPI Number for Bruce Victor Miller is 1003018151. The last update date is 2007-07-08.
Bruce Victor Miller's current location address is 125 Coulter Ave, Ardmore, Pennsylvania. You can contact this provider via phone number 6106424873 and fax number 6106424886. The mailing address for Bruce Victor Miller is 125 Coulter Ave, Ardmore, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce Victor Miller |
|---|---|
| Address | 125 Coulter Ave, Ardmore, Pennsylvania |
| Phone Number | 6106424873 |
| Fax Number | 6106424886 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1003018151 |
|---|---|
| Provider Enumeration Date | 2007-06-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 125 Coulter Ave |
|---|---|
| City | Ardmore |
| State | Pennsylvania (PA) |
| Post Code | 19003 |
| Phone Number | 6106424873 |
| Fax Number | 6106424886 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PS00231L |
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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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What is the unique identifier code issued to Bruce Victor Miller by the Centers for Medicare & Medicaid Services?
The Bruce Victor Miller has been assigned the NPI (National Provider Identifier) 1003018151. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Bruce Victor Miller's physical address?
The Bruce Victor Miller is physically located at 125 Coulter Ave, in the city of Ardmore, PA, with the postal code 19003.
What is Bruce Victor Miller's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Bruce Victor Miller is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
On what date did the Bruce Victor Miller receive its 1003018151 assignment from the Centers for Medicare & Medicaid Services?
The Bruce Victor Miller was assigned its 1003018151 by the Centers for Medicare & Medicaid Services on 2007-06-01.
As of what date were the Bruce Victor Miller's details last updated?
The information pertaining to the Bruce Victor Miller, including its address, specialty, and other details, was most recently updated on 2007-07-08.