MEDICARE: DR. BRANDY PARSONS MILLER PH.D.

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	103TC0700X	Clinical Psychologist	32835	TX

General Provider Information

NPI Number	:	1215962998
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRANDY PARSONS MILLER PH.D.

Provider Business Mailing Address
First Line	:	1230 SAINT REGIS DR
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75038-3732
Country	:	US
Telephone Number	:	972-580-3696
Fax Number	:	972-550-8791

Provider Business Practice Location Address
First Line	:	6350 LYNDON B JOHNSON FWY
Second Line	:	SUITE 151
City	:	DALLAS
State	:	TX
Zip	:	75240-6403
Country	:	US
Telephone Number	:	214-536-7114
Fax Number	:

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

Provider Enumeration Date	:	07/11/2006
Last Update Date	:	07/08/2007

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