Miller, Jeffry Loyd

Miller, Jeffry Loyd is an individual health care provider with primary practice located at 128 E Olin Ave Suite 100, Madison WI 53713. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Miller, Jeffry Loyd can be contacted via phone (608) 252-1320.

Contact Information

Primary practice address
128 E Olin Ave Suite 100 Madison WI 53713
Phone: (608) 252-1320
Fax: (608) 252-1333
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1659 Wisconsin
Behavioral Health & Social Service Providers / Professional 101YP2500X 713 Wisconsin
Behavioral Health & Social Service Providers / Clinical 1041C0700X 3220 Wisconsin
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 400 Wisconsin

Profile Details

NPI number 1477628931
LBN Legal business name Miller, Jeffry Loyd
Credentials MS LCSW LMFT LPC CAD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2006
Last updated Jun 17th, 2009 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1477628931 NPPES
Wisconsin MEDICAID 39302200

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