Provider Demographics
NPI:1790472876
Name:MILLER, AARON DAVID (PHD)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:DAVID
Last Name:MILLER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4965 ABBOT RUN CT
Mailing Address - Street 2:
Mailing Address - City:LIBERTY TWP
Mailing Address - State:OH
Mailing Address - Zip Code:45011-8656
Mailing Address - Country:US
Mailing Address - Phone:513-254-8894
Mailing Address - Fax:
Practice Address - Street 1:205 W 2ND ST STE 437
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:MN
Practice Address - Zip Code:55802-1922
Practice Address - Country:US
Practice Address - Phone:218-722-2005
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-19
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling