Diller, Miles

Diller, Miles is an individual health care provider with primary practice located at 489 Main St , Prince Frederick MD 20678-3187. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Diller, Miles can be contacted via phone (410) 535-3947.

Contact Information

Primary practice address
489 Main St Prince Frederick MD 20678-3187
Phone: (410) 535-3947
Fax: (301) 609-9091
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 723 New Mexico
Behavioral Health & Social Service Providers / School 103TS0200X 267420 New Mexico
Behavioral Health & Social Service Providers / Clinical 103TC0700X 02457 Maryland

Profile Details

NPI number 1144361544
LBN Legal business name Diller, Miles
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2007
Last updated Nov 12th, 2014 - about 12 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 1144361544 NPPES
New Mexico MEDICAID Z4787

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