Borden Miller, Betty

Borden Miller, Betty is an sole proprietor health care provider with primary practice located at 3033 Doyne Rd , Pasadena CA 91107-1110. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Borden Miller, Betty can be contacted via phone (626) 398-7105.

Contact Information

Primary practice address
3033 Doyne Rd Pasadena CA 91107-1110
Fax: (626) 398-7105
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY5289 California

Profile Details

NPI number 1689706103
LBN Legal business name Borden Miller, Betty
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 10th, 2007
Last updated Oct 8th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689706103 NPPES
California MEDICAID PSY052891

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