Most Relevant Information
Provider Data
| NPI Number: | 1003018151 |
| Provider Name: | BRUCE VICTOR MILLER PHD |
| Entity Type: | Individual |
| Taxonomy Code: | 103TC0700X |
| Specialty: | Psychologist |
| License Number: | PS00231L |
Most Important Dates
| Enumeration Date: | 06/01/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
125 COULTER AVE
ARDMORE
PA
19003
Practice Location Phone/Fax
| Phone: | 6106424873 |
| Fax: | 6106424886 |
Provider Mailing Location
125 COULTER AVE
ARDMORE
PA
19003
Provider Mailing Phone/Fax
| Phone: | 6106424873 |
| Fax: | 6106424886 |