MEDICARE: MS. DEBORAH KATE MILLER L.P.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TP0814X	Psychoanalysis Psychologist	000705	NY

General Provider Information

NPI Number	:	1013072685
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DEBORAH KATE MILLER L.P.

Provider Business Mailing Address
First Line	:	24 E 12TH ST
Second Line	:	SUITE 603-1
City	:	NEW YORK
State	:	NY
Zip	:	10003-4513
Country	:	US
Telephone Number	:	212-929-2099
Fax Number	:

Provider Business Practice Location Address
First Line	:	24 E 12TH ST
Second Line	:	SUITE 603-1
City	:	NEW YORK
State	:	NY
Zip	:	10003-4513
Country	:	US
Telephone Number	:	212-929-2099
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/26/2006
Last Update Date	:	05/24/2013

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