Miller, Deborah Colleen

Miller, Deborah Colleen is an individual health care provider with primary practice located at 199 Coon Rapids Blvd Nw , Coon Rapids MN 55433-5831. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Miller, Deborah Colleen can be contacted via phone (763) 785-8111.

Contact Information

Primary practice address
199 Coon Rapids Blvd Nw Coon Rapids MN 55433-5831
Phone: (763) 785-8111
Fax: (763) 785-6946
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LP0180 Minnesota

Profile Details

NPI number 1417909177
LBN Legal business name Miller, Deborah Colleen
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Feb 2nd, 2021 - about 4 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 1417909177 NPPES
Minnesota MEDICAID 717093900

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