Provider Demographics
NPI:1518783422
Name:MILLER, PAUL N (MAMFT)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:N
Last Name:MILLER
Suffix:
Gender:M
Credentials:MAMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 VINE ST APT F
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:PA
Mailing Address - Zip Code:17042-6827
Mailing Address - Country:US
Mailing Address - Phone:717-887-7530
Mailing Address - Fax:
Practice Address - Street 1:453 CHESTNUT GROVE RD STE 777
Practice Address - Street 2:
Practice Address - City:DILLSBURG
Practice Address - State:PA
Practice Address - Zip Code:17019-9576
Practice Address - Country:US
Practice Address - Phone:717-673-8824
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-25
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist