| Dr Yvonne C Miller Psychological Services Inc | |
|
330 Cordova St Unit 367 Pasadena CA 91101-4662 | |
| (626) 341-5331 | |
| Not Available |
| Full Name | Dr Yvonne C Miller Psychological Services Inc |
|---|---|
| Speciality | Psychologist |
| Location | 330 Cordova St Unit 367, Pasadena, California |
| Authorized Official Name and Position | Yvonne C Miller (DIRECTOR) |
| Authorized Official Contact | 6263415331 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Yvonne C Miller Psychological Services Inc 530 S Lake Ave # 850 Pasadena CA 91101-3515 Ph: (626) 341-5331 | Dr Yvonne C Miller Psychological Services Inc 330 Cordova St Unit 367 Pasadena CA 91101-4662 Ph: (626) 341-5331 |
| NPI Number | 1801505342 |
|---|---|
| Provider Enumeration Date | 11/22/2022 |
| Last Update Date | 08/08/2024 |
| Certification Date | 08/07/2024 |
| Medicare PECOS PAC ID | 4587109012 |
|---|---|
| Medicare Enrollment ID | O20240709002888 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801505342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Yvonne C Miller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881783884 PECOS PAC ID: 8325369051 Enrollment ID: I20150608000392 |
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