MEDICARE: MS. JUDITH SCHULMAN MILLER LCSW

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	1041C0700X	Clinical Social Worker	06066	AL

General Provider Information

NPI Number	:	1679631964
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JUDITH SCHULMAN MILLER LCSW

Provider Business Mailing Address
First Line	:	6 OFFICE PARK CIR
Second Line	:	SUITE 304
City	:	BIRMINGHAM
State	:	AL
Zip	:	35223-2512
Country	:	US
Telephone Number	:	205-879-2191
Fax Number	:

Provider Business Practice Location Address
First Line	:	6 OFFICE PARK CIR
Second Line	:	SUITE 304
City	:	BIRMINGHAM
State	:	AL
Zip	:	35223-2512
Country	:	US
Telephone Number	:	205-879-2191
Fax Number	:

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

Provider Enumeration Date	:	12/05/2006
Last Update Date	:	07/08/2007

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