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NPI 1659769453

NPI 1659769453 : AUDREY K. MILLER PH.D. : BELLAIRE, TX

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General NPI Number Information
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    NPI Number           |    1659769453
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    Entity Type          |    Individual 
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    Provider Name        |    AUDREY K. MILLER PH.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/31/2014
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    Last Update Date     |    09/18/2025
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Provider Practice Location Address
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    Address Line         |    6500 WEST LOOP S STE 200D 
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    City                 |    BELLAIRE
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    State                |    TX
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    Zip                  |    77401-3535
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    Country              |    US
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    Telephone            |    713-572-8122
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    Fax                  |    713-383-1452
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Provider Business Mailing Address
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    Address Line         |    6500 WEST LOOP S STE 200D 
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    City                 |    BELLAIRE
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    State                |    TX
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    Zip                  |    77401-3535
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    Country              |    US
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    Telephone            |    713-572-8122
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    Fax                  |    713-383-1452
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    34995
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    License Number State |    TX
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