MEDICARE: MEGAN ELIZABETH MILLER PSY.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
1	103T00000X	Psychologist	1799	CO

General Provider Information

NPI Number	:	1578891834
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN ELIZABETH MILLER PSY.D.

Provider Business Mailing Address
First Line	:	1490 N LAFAYETTE ST STE 106B
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80218-2391
Country	:	US
Telephone Number	:	303-333-3553
Fax Number	:

Provider Business Practice Location Address
First Line	:	1490 N LAFAYETTE ST STE 106B
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80218-2391
Country	:	US
Telephone Number	:	303-333-3553
Fax Number	:

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

Provider Enumeration Date	:	11/25/2009
Last Update Date	:	09/18/2023

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