| Kathleen Miller, Lsw, Psc | |
|
Ida Towers Ofc 101012th Altoona PA 16601-3411 | |
| (814) 505-4241 | |
| Not Available |
| Full Name | Kathleen Miller, Lsw, Psc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | Ida Towers Ofc 101012th, Altoona, Pennsylvania |
| Authorized Official Name and Position | Kathleen Brighid Miller (SOLE PROPRIETOR) |
| Authorized Official Contact | 8145054241 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen Miller, Lsw, Psc 120 Evergreen Ln Martinsburg PA 16662-7059 Ph: (814) 505-4241 | Kathleen Miller, Lsw, Psc Ida Towers Ofc 101012th Altoona PA 16601-3411 Ph: (814) 505-4241 |
| NPI Number | 1174838668 |
|---|---|
| Provider Enumeration Date | 08/09/2010 |
| Last Update Date | 02/04/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174838668 | NPI | - | NPPES |
| 102394936 0001 | Other | PA | MA NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | SW127247 (Pennsylvania) | Primary |
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