Healthcare Provider Details

I. General information

NPI: 1386120335
Provider Name (Legal Business Name): LINDSAY MAE MILLER PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2018
Last Update Date: 03/20/2024
Certification Date: 03/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2165 PROMISE RD
RAPID CITY SD
57701-8981
US

IV. Provider business mailing address

1121 NAPLES CT
RAPID CITY SD
57701-5900
US

V. Phone/Fax

Practice location:
  • Phone: 605-718-1095
  • Fax:
Mailing address:
  • Phone: 307-421-4675
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: