| Trisha T Miller Phd Inc | |
|
1818 W Fulton St Suite 201 Rapid City SD 57702-4377 | |
| (605) 348-6565 | |
| (605) 341-7409 |
| Full Name | Trisha T Miller Phd Inc |
|---|---|
| Speciality | Psychologist |
| Location | 1818 W Fulton St, Rapid City, South Dakota |
| Authorized Official Name and Position | Trisha T Miller (CLINICAL CHILD PSYCHOLOGIST) |
| Authorized Official Contact | 6053486565 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trisha T Miller Phd Inc 1818 W Fulton St Suite 201 Rapid City SD 57702-4377 Ph: (605) 348-6565 | Trisha T Miller Phd Inc 1818 W Fulton St Suite 201 Rapid City SD 57702-4377 Ph: (605) 348-6565 |
| NPI Number | 1417237165 |
|---|---|
| Provider Enumeration Date | 08/26/2011 |
| Last Update Date | 05/20/2013 |
| Medicare PECOS PAC ID | 0840540910 |
|---|---|
| Medicare Enrollment ID | O20180911002314 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417237165 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 496 (South Dakota) | Primary |
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