Healthcare Provider Details

I. General information

NPI: 1518883446
Provider Name (Legal Business Name): INDIRA JOELL MILLER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. INDIRA NATALIE JOELL

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 RESEARCH DR
BETHLEHEM PA
18015-4731
US

IV. Provider business mailing address

111 RESEARCH DR
BETHLEHEM PA
18015-4731
US

V. Phone/Fax

Practice location:
  • Phone: 610-758-2441
  • Fax: 610-758-6223
Mailing address:
  • Phone: 610-758-2441
  • Fax: 610-758-6223

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberBH008475
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: