Dr. Bruce Victor Miller
Clinical Psychologist
125 Coulter Ave
Ardmore
, Pennsylvania 19003
Dr. Bruce Victor Miller
Clinical Psychologist
125 Coulter Ave
Ardmore
, Pennsylvania 19003
(610) 642-4886
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About
Features
Specialties
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Dr. Bruce Victor Miller
- 125 Coulter Ave
- Ardmore, PA
- Zip : 19003
- Fax : (610) 642-4886
- Phone : (610) 642-4873
Second Address
- Dr. Bruce Victor Miller
- 125 Coulter Ave
- Ardmore, PA
- Zip : 19003
- Fax : (610) 642-4886
- Phone : (610) 642-4873
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | PS00231L | PA |
| Y | 103TC0700X | Clinical Psychologist | PS00231L | PA |
National Provider Identifier
| NPI | 1003018151 |
|---|---|
| Provider Name | Dr. Bruce Victor Miller |
| First Address | Ardmore, PA 19003 |
| Second Address | Ardmore, PA 19003 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/06/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.