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NPI Code Detail

MEDICARE: MR. DONALD STEWART MILLER MS MFT

MEDICARE: MR. DONALD STEWART MILLER MS MFT
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
1106H00000XMarriage & Family Therapist0668NV

General Provider Information

NPI Number : 1770648420
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DONALD STEWART MILLER MS MFT
Provider Business Mailing Address
First Line : 8668 SPRING MOUNTAIN RD
Second Line : SUITE 110
City : LAS VEGAS
State : NV
Zip : 89117-4109
Country : US
Telephone Number : 702-253-6510
Fax Number : 702-304-1888
Provider Business Practice Location Address
First Line : 8668 SPRING MOUNTAIN RD
Second Line : SUITE 110
City : LAS VEGAS
State : NV
Zip : 89117-4109
Country : US
Telephone Number : 702-253-6510
Fax Number : 702-304-1888
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2006
Last Update Date : 07/08/2007

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