Miller, Terri L.

Miller, Terri L. is an individual health care provider with primary practice located at 7 Shackleford Blvd W , Little Rock AR 72211-3886. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Miller, Terri L. can be contacted via phone (501) 219-7770.

Contact Information

Primary practice address
7 Shackleford Blvd W Little Rock AR 72211-3886
Fax: (501) 687-8460
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 00-07P Arkansas

Profile Details

NPI number 1174613749
LBN Legal business name Miller, Terri L.
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Apr 13th, 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 1174613749 NPPES
Arkansas MEDICAID 145346019

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