Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | P.07856 | OH |
N | 103T00000X | Psychologist | P.07856 | OH |
N | 103TB0200X | Cognitive & Behavioral Psychologist | P.07856 | OH |
Y | 103G00000X | Clinical Psychologist | P.07856 | OH |
Y | 103TC0700X | Clinical Psychologist | P.07856 | OH |
N | 103TC1900X | Counseling Psychologist | P.07856 | OH |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | P.07856 | OH |
N | 103TF0000X | Family Psychologist | P.07856 | OH |
N | 103TF0200X | Forensic Psychologist | P.07856 | OH |
N | 103TP0814X | Psychoanalysis | P.07856 | OH |
N | 103TP2701X | Group Psychotherapist | P.07856 | OH |
NPI | 1063977189 |
---|---|
Provider Name | Dr. Benjamin Lehman Miller |
First Address | University Heights, OH 44118-3919 |
Second Address | Beachwood, OH 44122-5322 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/02/2019 |
Last Update Date | 02/02/2019 |