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NPI Code Detail

MEDICARE: STEPHEN J MILLER PHD PC

MEDICARE: STEPHEN J MILLER PHD PC
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
1102L00000XPsychoanalyst340OK
2103TA0700XAdult Development & Aging Psychologist340OK
3103TB0200XCognitive & Behavioral Psychologist340OK
4103TC1900XCounseling Psychologist340OK
5106H00000XMarriage & Family Therapist340OK
6103TC0700XClinical Psychologist340OK

General Provider Information

NPI Number : 1356538292
Entity Type Code : Organization
Provider Name (Legal Business Name) : STEPHEN J MILLER PHD PC
Provider Business Mailing Address
First Line : 1900 NW EXPRESSWAY ST
Second Line : STE 900
City : OKLAHOMA CITY
State : OK
Zip : 73118-1802
Country : US
Telephone Number : 405-810-1133
Fax Number : 405-810-1155
Provider Business Practice Location Address
First Line : 1900 NW EXPRESSWAY ST
Second Line : STE 900
City : OKLAHOMA CITY
State : OK
Zip : 73118-1802
Country : US
Telephone Number : 405-810-1133
Fax Number : 405-810-1155
Authorized Official
Title or Position : PRESIDENT
Name : STEPHEN J MILLER
Credential : PHD
Telephone Number : 405-810-1133
Provider Enumeration Date : 09/25/2007
Last Update Date : 09/25/2007

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Directions to “STEPHEN J MILLER PHD PC ” Practice Location

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