Miller, Theodore Robert

Miller, Theodore Robert is an sole proprietor health care provider with primary practice located at 1700 E 38Th St , Marion IN 46953-4568. He recently has 9 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Health Service, Behavioral Health & Social Service Providers / Group Psychotherapy, Behavioral Health & Social Service Providers / Rehabilitation. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Miller, Theodore Robert can be contacted via phone (765) 674-3321.

Contact Information

Primary practice address
1700 E 38Th St Marion IN 46953-4568
Phone: (765) 674-3321
Fax: (765) 677-5122
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 20010282A Indiana
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X 20010382A Indiana
Behavioral Health & Social Service Providers / Adult Development & Aging 103TA0700X 20010382A Indiana
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 20010382A Indiana
Behavioral Health & Social Service Providers / Clinical 103TC0700X 20010382A Indiana
Behavioral Health & Social Service Providers / Family 103TF0000X 20010382A Indiana
Behavioral Health & Social Service Providers / Health Service 103TH0100X 20010382A Indiana
Behavioral Health & Social Service Providers / Psychologist 103T00000X 20010382A Indiana
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X 20010382A Indiana
Behavioral Health & Social Service Providers / Rehabilitation 103TR0400X 20010382A Indiana

Profile Details

NPI number 1376565796
LBN Legal business name Miller, Theodore Robert
Credentials PH.D., HSPP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 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.

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