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General NPI Number Information
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NPI Number | 1538039698
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Entity Type | Organization
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Legal Business Name | MILLER PSYCHOLOGICAL SERVICES, PROFESSIONAL CORP
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Dates
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Enumeration Date | 11/05/2025
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 17777 CENTER COURT DR N STE 600
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City | CERRITOS
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State | CA
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Zip | 90703-8575
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Country | US
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Telephone | 562-388-3308
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Fax | 855-955-1308
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Provider Business Mailing Address
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Address Line | 3071 SILVERWOOD DR
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City | LOS ALAMITOS
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State | CA
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Zip | 90720-4033
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Country | US
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Telephone | 562-388-3308
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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. ALICIA MILLER
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Credential | PSY.D.
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Telephone | 480-567-6996
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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