Provider Demographics
NPI:1639438609
Name:MILLER, HILTON RICHARD (PSYD, BSN)
Entity Type:Individual
Prefix:DR
First Name:HILTON
Middle Name:RICHARD
Last Name:MILLER
Suffix:
Gender:M
Credentials:PSYD, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:999 HIDDEN LAKE DR
Mailing Address - Street 2:
Mailing Address - City:NORTH BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08902-1166
Mailing Address - Country:US
Mailing Address - Phone:732-977-4881
Mailing Address - Fax:
Practice Address - Street 1:999 HIDDEN LAKE DR
Practice Address - Street 2:
Practice Address - City:NORTH BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08902-1166
Practice Address - Country:US
Practice Address - Phone:732-977-4881
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-11
Last Update Date:2012-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35SI00337900103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist