Miller, D'Lane Sally
Miller, D'Lane Sally is an individual health care provider with primary practice located at 124 E Miracle Strip Pkwy Suite 302, Mary Esther FL 32569-1988. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Miller, D'Lane Sally can be contacted via phone (850) 243-8086.Contact Information
Primary practice address
124 E Miracle Strip Pkwy Suite 302
Mary Esther FL 32569-1988
Phone: (850) 243-8086
Fax: (850) 243-2702
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY00003359 | Florida |
Profile Details
| NPI number | 1124098504 |
|---|---|
| LBN Legal business name | Miller, D'Lane Sally |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2006 |
| Last updated | Oct 16th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124098504 | NPPES |
| Florida | Other | 75407 | BCBS |
| Florida | Other | 59-3736816 | BCBS |
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