Provider Demographics
NPI:1205270527
Name:MILLAR, PATRICK JAMES
Entity type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:JAMES
Last Name:MILLAR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5916 W ELDER DR
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57106-2032
Mailing Address - Country:US
Mailing Address - Phone:605-680-4080
Mailing Address - Fax:
Practice Address - Street 1:5916 W ELDER DR
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57106-2032
Practice Address - Country:US
Practice Address - Phone:160-568-0408
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-18
Last Update Date:2013-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst