Healthcare Provider Details

I. General information

NPI: 1174675680
Provider Name (Legal Business Name): STEVEN PAUL MILLER ED.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/17/2007
Last Update Date: 04/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2111 N FRANKLIN DR
WASHINGTON PA
15301-5893
US

IV. Provider business mailing address

2111 N FRANKLIN DR
WASHINGTON PA
15301-5893
US

V. Phone/Fax

Practice location:
  • Phone: 724-222-2265
  • Fax: 724-222-2254
Mailing address:
  • Phone: 724-222-2265
  • Fax: 724-222-2254

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberPC001178
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC001178
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberPC001178
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: