Healthcare Provider Details

I. General information

NPI: 1710746482
Provider Name (Legal Business Name): MILLER PSYCHOLOGICAL SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2024
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7776 S POINTE PKWY W STE 250
PHOENIX AZ
85044-5428
US

IV. Provider business mailing address

3071 SILVERWOOD DR
LOS ALAMITOS CA
90720-4033
US

V. Phone/Fax

Practice location:
  • Phone: 480-567-6996
  • Fax:
Mailing address:
  • Phone: 480-567-6996
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. ALICIA R MILLER
Title or Position: LICENSED PSYCHOLOGIST
Credential: PSY.D.
Phone: 480-567-6996