Provider Demographics
NPI:1043437247
Name:MILLER, JAMES E (PHD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:E
Last Name:MILLER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:153 BALTIMORE ST
Mailing Address - Street 2:THIRD FLOOR SUITE 1
Mailing Address - City:CUMBERLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21502-2301
Mailing Address - Country:US
Mailing Address - Phone:301-724-4081
Mailing Address - Fax:
Practice Address - Street 1:153 BALTIMORE ST
Practice Address - Street 2:THIRD FLOOR SUITE 1
Practice Address - City:CUMBERLAND
Practice Address - State:MD
Practice Address - Zip Code:21502-2301
Practice Address - Country:US
Practice Address - Phone:301-724-4081
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-19
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01459103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist