MEDICARE: HOLLAND MILLER, PSY.D., PLLC

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

General Provider Information

NPI Number	:	1487477451
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOLLAND MILLER, PSY.D., PLLC

Provider Business Mailing Address
First Line	:	310 LEXINGTON DR
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78737-4531
Country	:	US
Telephone Number	:	312-391-0040
Fax Number	:

Provider Business Practice Location Address
First Line	:	310 LEXINGTON DR
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78737-4531
Country	:	US
Telephone Number	:	312-391-0040
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	HOLLAND MILLER
Credential	:
Telephone Number	:	312-391-0040

Provider Enumeration Date	:	11/06/2024
Last Update Date	:	11/06/2024

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