Provider Demographics
NPI:1992857270
Name:MILLER, TRISHA R (PHD)
Entity Type:Individual
Prefix:DR
First Name:TRISHA
Middle Name:R
Last Name:MILLER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:580 UPWARD RD
Mailing Address - Street 2:UNIT 1
Mailing Address - City:FLAT ROCK
Mailing Address - State:NC
Mailing Address - Zip Code:28731-8592
Mailing Address - Country:US
Mailing Address - Phone:828-696-3531
Mailing Address - Fax:828-696-0952
Practice Address - Street 1:580 UPWARD RD
Practice Address - Street 2:UNIT 1
Practice Address - City:FLAT ROCK
Practice Address - State:NC
Practice Address - Zip Code:28731-8592
Practice Address - Country:US
Practice Address - Phone:828-696-3531
Practice Address - Fax:828-696-0952
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2013-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCPP2526103TC0700X
NC2526103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC015R6OtherBCBS OF NC
NC6000144Medicaid
NC2088658OtherCIGNA BEHAVIORAL HEALTH