Healthcare Provider Details

I. General information

NPI: 1760614846
Provider Name (Legal Business Name): ALICIA MILLER PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2009
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17777 CENTER COURT DR N STE 600
CERRITOS CA
90703-8575
US

IV. Provider business mailing address

17777 CENTER COURT DR N STE 600
CERRITOS CA
90703-8575
US

V. Phone/Fax

Practice location:
  • Phone: 562-388-3308
  • Fax:
Mailing address:
  • Phone: 562-388-3308
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPSY35888
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: