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General NPI Number Information
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NPI Number | 1508936451
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Entity Type | Organization
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Legal Business Name | CHILD PSYCH SERVICES, LLC
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 8587 MASON MONTGOMERY RD. SUITE 9
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City | MASON
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State | OH
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Zip | 45040
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Country | US
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Telephone | 513-593-2474
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Fax |
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Provider Business Mailing Address
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Address Line | 8587 MASON MONTGOMERY RD. SUITE 9
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City | MASON
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State | OH
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Zip | 45040
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Country | US
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Telephone | 513-593-2474
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JULIE MICHELLE MILLER
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Credential | PSY.D.
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Telephone | 513-593-2474
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 6231
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 6231
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 6231
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 6231
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License Number State | OH
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