Provider Demographics
NPI:1265487888
Name:MILLER, H JOSEPH (PHD)
Entity Type:Individual
Prefix:
First Name:H
Middle Name:JOSEPH
Last Name:MILLER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41900 FENWICK ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:LEONARDTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20650-3813
Mailing Address - Country:US
Mailing Address - Phone:301-475-9660
Mailing Address - Fax:301-475-8810
Practice Address - Street 1:41900 FENWICK ST
Practice Address - Street 2:SUITE 1
Practice Address - City:LEONARDTOWN
Practice Address - State:MD
Practice Address - Zip Code:20650-3813
Practice Address - Country:US
Practice Address - Phone:301-475-9660
Practice Address - Fax:301-475-8810
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2008-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD00646103TB0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD1020836OtherMDIPA
MDB9500002OtherBCBS NCA
MD1020836OtherGEHA
MD1020836OtherOPTIMUM CHOICE
MD097444OtherMHN
MD1020836OtherMAMSI
MDB9500002OtherBLUE CHOICE
MD1020836OtherALLIANCE
MD517B 34231007OtherBCBS
MD7257009OtherAETNA
MDB9500002OtherBCBS FEDERAL
MDPVPB105466OtherAPS
MDB9500002OtherBCBS NCA
MD1020836OtherALLIANCE