Provider Demographics
NPI:1033435763
Name:MILLER, THOMAS R (CPHD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:R
Last Name:MILLER
Suffix:
Gender:M
Credentials:CPHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:508 HUMMINGBIRD DR
Mailing Address - Street 2:
Mailing Address - City:LITITZ
Mailing Address - State:PA
Mailing Address - Zip Code:17543-1314
Mailing Address - Country:US
Mailing Address - Phone:717-725-0331
Mailing Address - Fax:877-249-9209
Practice Address - Street 1:508 HUMMINGBIRD DR
Practice Address - Street 2:
Practice Address - City:LITITZ
Practice Address - State:PA
Practice Address - Zip Code:17543-1314
Practice Address - Country:US
Practice Address - Phone:717-725-0331
Practice Address - Fax:877-249-9209
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-20
Last Update Date:2013-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral