Miller, Samantha P
Miller, Samantha P is an sole proprietor health care provider with primary practice located at 1600 W 38Th St Ste 212, Austin TX 78731-6400. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Miller, Samantha P can be contacted via phone (512) 324-3315.Contact Information
Primary practice address
1600 W 38Th St Ste 212
Austin TX 78731-6400
Phone: (512) 324-3315
Fax: (512) 324-3314
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | ||
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 36599 | Texas |
Profile Details
| NPI number | 1578711768 |
|---|---|
| LBN Legal business name | Miller, Samantha P |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 3rd, 2008 |
| Last updated | Mar 27th, 2017 - about 7 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 | 1578711768 | NPPES |
| Texas | MEDICAID | 364966701 | |
| Texas | MEDICAID | 364966702 |
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