Healthcare Provider Details
I. General information
NPI: 1801922141
Provider Name (Legal Business Name): HOMER MARTIN LUTHER MILLER PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 02/23/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
411 OAK ST STERLING MEDICAL ASSOCIATES
CINCINNATI OH
45219-2598
US
IV. Provider business mailing address
411 OAK ST STERLING MEDICAL ASSOCIATES ATTN CREDENTIALS
CINCINNATI OH
45219-2598
US
V. Phone/Fax
- Phone: 513-984-1800
- Fax: 513-984-4909
- Phone: 513-984-1800
- Fax: 513-984-4909
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103T00000X |
| Taxonomy | Psychologist |
| License Number | 3677 |
| License Number State | AZ |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TC1900X |
| Taxonomy | Counseling Psychologist |
| License Number | 3677 |
| License Number State | AZ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: