Provider Demographics
NPI:1881405629
Name:MILLER, TAYLOR LYNN (LSW, MSW, BC)
Entity type:Individual
Prefix:MISS
First Name:TAYLOR
Middle Name:LYNN
Last Name:MILLER
Suffix:
Gender:F
Credentials:LSW, MSW, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59 CHERRY LN
Mailing Address - Street 2:
Mailing Address - City:LEVITTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19055-1603
Mailing Address - Country:US
Mailing Address - Phone:267-357-4205
Mailing Address - Fax:
Practice Address - Street 1:800 CLARMONT AVE STE B
Practice Address - Street 2:
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-5705
Practice Address - Country:US
Practice Address - Phone:267-525-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-20
Last Update Date:2025-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW140213104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker