Thomas, Evan Miller

Thomas, Evan Miller is an individual health care provider with primary practice located at 108 E Ponce De Leon Ave Ste 204 , Decatur GA 30030-2512. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Thomas, Evan Miller can be contacted via phone (510) 566-2367.

Contact Information

Primary practice address
108 E Ponce De Leon Ave Ste 204 Decatur GA 30030-2512
Phone: (510) 566-2367
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X D6540235 California
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY003899 Georgia

Profile Details

NPI number 1215056809
LBN Legal business name Thomas, Evan Miller
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2007
Last updated Mar 17th, 2018 - about 6 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 1215056809 NPPES
Other 11415 SFGH INTERNAL USE ONLY
Other 11415 SFGH INTERNAL USE ONLY

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