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NPI Code Detail

MEDICARE: RYAN KEITH MILLS B.A.

MEDICARE: RYAN KEITH MILLS B.A.
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1619137437
Entity Type Code : Individual
Provider Name (Legal Business Name) : RYAN KEITH MILLS B.A.
Provider Business Mailing Address
First Line : 10 DUFF RD
Second Line : SUITE 301
City : PITTSBURGH
State : PA
Zip : 15235-3260
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10 DUFF RD
Second Line : SUITE 301
City : PITTSBURGH
State : PA
Zip : 15235-3260
Country : US
Telephone Number : 412-731-9707
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2008
Last Update Date : 06/16/2008

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