Provider Demographics
NPI:1942272257
Name:MILLER, RICHARD JOSEPH (PHD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:JOSEPH
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 1:2030 LEHIGH ST
Mailing Address - Street 2:# 107
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18042-3855
Mailing Address - Country:US
Mailing Address - Phone:610-253-5100
Mailing Address - Fax:610-253-7062
Practice Address - Street 1:2030 LEHIGH ST
Practice Address - Street 2:# 107
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18042-3855
Practice Address - Country:US
Practice Address - Phone:610-253-5100
Practice Address - Fax:610-253-7062
Is Sole Proprietor?:No
Enumeration Date:2006-02-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS001829L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01416002OtherBC
PA029891OtherBS
PA029891OtherBS