Miller, Dennis R
Miller, Dennis R is an sole proprietor health care provider with primary practice located at 7525 John T White Rd , Fort Worth TX 76120-3311. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Miller, Dennis R can be contacted via phone (817) 338-9553.Contact Information
Primary practice address
7525 John T White Rd
Fort Worth TX 76120-3311
Phone: (817) 338-9553
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC 10983 | Texas |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCSW15499 | Texas |
Profile Details
| NPI number | 1932308962 |
|---|---|
| LBN Legal business name | Miller, Dennis R |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 11th, 2007 |
| Last updated | Apr 23rd, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932308962 | NPPES |
| Texas | MEDICAID | 108155602 |
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