MEDICARE: DR. DEBORAH SCHWARTZ MILLER LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	002306	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	15182	OTHER	MO	BLUE CROSS/BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043280803
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEBORAH SCHWARTZ MILLER LPC

Provider Business Mailing Address
First Line	:	6 CLAYCHESTER DR
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63131-4007
Country	:	US
Telephone Number	:	314-966-2075
Fax Number	:

Provider Business Practice Location Address
First Line	:	301 SOVEREIGN CT
Second Line	:	SUITE 211
City	:	BALLWIN
State	:	MO
Zip	:	63011-4441
Country	:	US
Telephone Number	:	636-527-5051
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/25/2006
Last Update Date	:	07/09/2007

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