Theresa Ann Miller, PhD
Psychologist, Counseling in Albuquerque, NM. Individual provider (NPI-1).
NPI number1932168564
StatusActive
Last updated in NPPESJul 31, 2018
Details
- NPI
- 1932168564
- Entity type
- Individual (NPI-1)
- Name
- Theresa Ann Miller
- Credential
- PhD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 22, 2006
- Last updated
- Jul 31, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC1900X | Psychologist, Counseling | 0786 | NM | Yes |
| 103T00000X | Psychologist | NM786 | NM |
Other names
- Theresa Ann Miller-Etoll (Other Name)
Practice location
5600 Wyoming Blvd NeSuite 240
Albuquerque, NM 87109
Phone 505-384-7353 · Fax 505-384-7354
Mailing address
Po Box 94508Albuquerque, NM 87199-4508
Phone 505-384-7353 · Fax 505-384-7354
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