Miller, Shelley A

Miller, Shelley A is an individual health care provider with primary practice located at 547 Dayton St , Edmonds WA 98020-3431. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Miller, Shelley A can be contacted via phone (425) 771-5166.

Contact Information

Primary practice address
547 Dayton St Edmonds WA 98020-3431
Phone: (425) 771-5166
Fax: (425) 670-2807
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LH00005463 Washington
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LF00001300 Washington

Profile Details

NPI number 1942346481
LBN Legal business name Miller, Shelley A
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942346481 NPPES
Washington Other 2758MI REGENCE

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