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NPI Code Detail

MEDICARE: MRS. TRISHA TERREAN MILLER PH.D.

MEDICARE: MRS. TRISHA TERREAN MILLER PH.D.
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
1103T00000XPsychologist

General Provider Information

NPI Number : 1053540880
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TRISHA TERREAN MILLER PH.D.
Provider Business Mailing Address
First Line : 1818 W FULTON ST
Second Line : SUITE 201
City : RAPID CITY
State : SD
Zip : 57702-4377
Country : US
Telephone Number : 605-348-6565
Fax Number : 605-341-7409
Provider Business Practice Location Address
First Line : 1818 W FULTON ST
Second Line : SUITE 201
City : RAPID CITY
State : SD
Zip : 57702-4377
Country : US
Telephone Number : 605-348-6565
Fax Number : 605-341-7409
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2009
Last Update Date : 05/20/2013

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