Miller, Matthew
Miller, Matthew is an sole proprietor health care provider with primary practice located at 4525 E Atherton St , Long Beach CA 90815-3700. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Miller, Matthew can be contacted via phone (562) 961-0155.Contact Information
Primary practice address
4525 E Atherton St
Long Beach CA 90815-3700
Phone: (562) 961-0155
Fax: (562) 961-0161
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 18479PSY | California |
Profile Details
| NPI number | 1154390524 |
|---|---|
| LBN Legal business name | Miller, Matthew |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 16th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1154390524 | NPPES |
| California | MEDICAID | PSY184790 |
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