Provider Demographics
NPI:1477602381
Name:MILLER, JAMES MARTIN (MSPC)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:MARTIN
Last Name:MILLER
Suffix:
Gender:M
Credentials:MSPC
Other - Prefix:MR
Other - First Name:J. MARTY
Other - Middle Name:
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSPC
Mailing Address - Street 1:311 BARNES ST
Mailing Address - Street 2:APT 2
Mailing Address - City:WILKINSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15221-3366
Mailing Address - Country:US
Mailing Address - Phone:412-247-1091
Mailing Address - Fax:412-247-1099
Practice Address - Street 1:10700 FRANKSTOWN RD
Practice Address - Street 2:
Practice Address - City:PENN HILLS
Practice Address - State:PA
Practice Address - Zip Code:15235-3049
Practice Address - Country:US
Practice Address - Phone:412-247-1091
Practice Address - Fax:412-247-1099
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2010-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional