Provider Demographics
NPI:1790103240
Name:MILLER, RACHEL LAUREN (PSYD, JD)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:LAUREN
Last Name:MILLER
Suffix:
Gender:F
Credentials:PSYD, JD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1003 SUMMERWINDS LN
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-7078
Mailing Address - Country:US
Mailing Address - Phone:561-261-5857
Mailing Address - Fax:
Practice Address - Street 1:3801 PGA BLVD
Practice Address - Street 2:SUITE 600 & 602
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-2758
Practice Address - Country:US
Practice Address - Phone:561-261-5857
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-02
Last Update Date:2014-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY8992103G00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical