| Terry Diane Miller | |
|
255 Spencer Rd Suite 201 Saint Peters MO 63376-2494 | |
| (636) 939-2550 | |
| (636) 939-2551 |
| Full Name | Terry Diane Miller |
|---|---|
| Speciality | Counselor - Professional |
| Location | 255 Spencer Rd, Saint Peters, Missouri |
| Authorized Official Name and Position | Terry Diane Miller (OWNER) |
| Authorized Official Contact | 6369392550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Terry Diane Miller 255 Spencer Rd Suite 201 Saint Peters MO 63376-2494 Ph: (636) 939-2550 | Terry Diane Miller 255 Spencer Rd Suite 201 Saint Peters MO 63376-2494 Ph: (636) 939-2550 |
| NPI Number | 1174619050 |
|---|---|
| Provider Enumeration Date | 10/05/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174619050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 000707 (Missouri) | Primary |
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