Misty Clark Miller, is a
Psychologist - Intellectual & Developmental Disabilities based in Willowick, Ohio. Misty Clark Miller is licensed to practice in * (Not Available) (license number ) and her current practice location is
30145 Vineyard Rd, Willowick, Ohio. She can be reached at her office (for appointments etc.) via phone at
(440) 479-9796.
NPI number for Misty Clark Miller is 1548120488 and her current mailing address is 30145 Vineyard Rd, Willowick, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1548120488.
Healthcare Provider's Profile
| Full Name | Misty Clark Miller |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - Intellectual & Developmental Disabilities |
|---|
| Location | 30145 Vineyard Rd, Willowick, Ohio |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1548120488
- Provider Enumeration Date: 11/13/2025
- Last Update Date: 11/13/2025
Medical Identifiers
Medical identifiers for Misty Clark Miller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1548120488 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Misty Clark Miller is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Misty Clark Miller, 30145 Vineyard Rd, Willowick, OH 44095-4924 Ph: (440) 479-9796 | Misty Clark Miller, 30145 Vineyard Rd, Willowick, OH 44095-4924 Ph: (440) 479-9796 |
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