Provider Demographics
NPI:1760803308
Name:ALISON L. MILLER, PSY.D., LLC
Entity Type:Organization
Organization Name:ALISON L. MILLER, PSY.D., LLC
Other - Org Name:ALISON L. MILLER, PSY.D. & ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ALISON
Authorized Official - Middle Name:L
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:443-330-2146
Mailing Address - Street 1:1503 PINE AYR CIR
Mailing Address - Street 2:
Mailing Address - City:FREELAND
Mailing Address - State:MD
Mailing Address - Zip Code:21053-9446
Mailing Address - Country:US
Mailing Address - Phone:443-330-2146
Mailing Address - Fax:
Practice Address - Street 1:1400 FRONT AVE
Practice Address - Street 2:SUITE 204
Practice Address - City:LUTHERVILLE
Practice Address - State:MD
Practice Address - Zip Code:21093-5300
Practice Address - Country:US
Practice Address - Phone:443-330-2146
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-29
Last Update Date:2013-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD04470103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty