MEDICARE: MEGAN C. MILLER M.A., NCC, LPC

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	101YP2500X	Professional Counselor	PC005330	PA

General Provider Information

NPI Number	:	1376569897
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN C. MILLER M.A., NCC, LPC

Provider Business Mailing Address
First Line	:	665 PHILADELPHIA ST
Second Line	:	SUITE 202
City	:	INDIANA
State	:	PA
Zip	:	15701-3941
Country	:	US
Telephone Number	:	724-465-2605
Fax Number	:	724-465-2610

Provider Business Practice Location Address
First Line	:	665 PHILADELPHIA ST
Second Line	:	SUITE 202
City	:	INDIANA
State	:	PA
Zip	:	15701-3941
Country	:	US
Telephone Number	:	724-465-2605
Fax Number	:	724-465-2610

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

Provider Enumeration Date	:	07/15/2006
Last Update Date	:	07/08/2014

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