Provider Demographics
NPI:1225108434
Name:MILLER, ALEC LEONARD (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ALEC
Middle Name:LEONARD
Last Name:MILLER
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Gender:M
Credentials:PSYD
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Mailing Address - Street 1:1 NORTH BROADWAY SUITE 704
Mailing Address - Street 2:C/O COGNITIVE & BEHAVIORAL CONSULTANTS, LLP
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10601
Mailing Address - Country:US
Mailing Address - Phone:914-385-1150
Mailing Address - Fax:914-385-1155
Practice Address - Street 1:1 NORTH BROADWAY SUITE 704
Practice Address - Street 2:C/O COGNITIVE & BEHAVIORAL CONSULTANTS, LLP
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10601
Practice Address - Country:US
Practice Address - Phone:914-385-1150
Practice Address - Fax:914-385-1155
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2015-12-17
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Provider Licenses
StateLicense IDTaxonomies
NY012207103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist