Provider Demographics
NPI:1518149244
Name:MILLER, ANNE RENEE (PHD)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:RENEE
Last Name:MILLER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:99 S PENNSYLVANIA AVE
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15401-4236
Mailing Address - Country:US
Mailing Address - Phone:724-430-0555
Mailing Address - Fax:724-430-0966
Practice Address - Street 1:99 S PENNSYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401-4236
Practice Address - Country:US
Practice Address - Phone:724-430-0555
Practice Address - Fax:724-430-0966
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-05
Last Update Date:2007-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS015268103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist