Provider Demographics
NPI:1265607840
Name:MILLER, ALLIE F (LMFT)
Entity type:Individual
Prefix:MR
First Name:ALLIE
Middle Name:F
Last Name:MILLER
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19B TROLLEY SQ
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19806-3350
Mailing Address - Country:US
Mailing Address - Phone:302-287-3443
Mailing Address - Fax:866-238-3938
Practice Address - Street 1:19B TROLLEY SQ
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19806-3350
Practice Address - Country:US
Practice Address - Phone:302-287-3443
Practice Address - Fax:866-238-3938
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-24
Last Update Date:2019-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMF000721106H00000X
WI850-124106H00000X
NJ37FI00162100106H00000X
DEFT0000054106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist