Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP1600X | Pastoral Counselor |
NPI | 1033435763 |
---|---|
Provider Name | Dr. Thomas R Miller |
First Address | Lititz, PA 17543-1314 |
Second Address | Lititz, PA 17543-1314 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2010 |
Last Update Date | 04/11/2013 |