Phillips-Miller, Dianne Ladon

Phillips-Miller, Dianne Ladon is an individual health care provider with primary practice located at 814 S Washington St , Moscow ID 83843-3049. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Phillips-Miller, Dianne Ladon can be contacted via phone (208) 882-0619.

Contact Information

Primary practice address
814 S Washington St Moscow ID 83843-3049
Phone: (208) 882-0619
Fax: (208) 882-4774
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X PSY 288 Idaho

Profile Details

NPI number 1336106830
LBN Legal business name Phillips-Miller, Dianne Ladon
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Jul 8th, 2007 - about 18 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 1336106830 NPPES
Idaho Other P9205 APS HEALTHCARE
Idaho Other N4460 APS HEALTHCARE
Idaho Other CBH2228116 APS HEALTHCARE

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