Provider Demographics
NPI:1942443346
Name:MILLER, STEPHEN FINN (LMFT)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:FINN
Last Name:MILLER
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:STEPHEN
Other - Middle Name:DEWAYNE
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:465 GRANT ST UNIT 1141
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14213-6547
Mailing Address - Country:US
Mailing Address - Phone:716-581-0181
Mailing Address - Fax:
Practice Address - Street 1:303 JERSEY ST
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14201-1223
Practice Address - Country:US
Practice Address - Phone:716-588-0181
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-14
Last Update Date:2021-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT53449106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist