MEDICARE: EVA MILLER PHD

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	103TR0400X	Rehabilitation Psychologist	PY0772	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982755799
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EVA MILLER PHD

Provider Business Mailing Address
First Line	:	3651 LINDELL RD
Second Line	:	STE D396
City	:	LAS VEGAS
State	:	NV
Zip	:	89103-1254
Country	:	US
Telephone Number	:	956-207-1725
Fax Number	:

Provider Business Practice Location Address
First Line	:	3651 LINDELL RD
Second Line	:	STE D396
City	:	LAS VEGAS
State	:	NV
Zip	:	89103-1254
Country	:	US
Telephone Number	:	956-994-3880
Fax Number	:

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

Provider Enumeration Date	:	01/16/2007
Last Update Date	:	09/27/2019

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Directions to “ EVA MILLER PHD” Practice Location

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