NPI 1003018151

Bruce Victor Miller, PHD

Practitioner Clinical Psychologist Ardmore, PA

Practice location

Address: 125 Coulter Ave, Ardmore, PA 19003
Phone: (610) 642-4873
Fax: (610) 642-4886

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence PS00231L (PA)

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Registry record

NPI: 1003018151
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Jun 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.