Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JONATHAN M MILLER, PHD LP
Active Sole ProprietorJONATHAN M MILLER, PHD LP is a Clinical Neuropsychologist healthcare provider located in EAGAN, Minnesota. NPI 1992790117 is currently active in the NPPES registry. Verify at CMS.
Clinical Neuropsychologist · EAGAN, MN
Registration Details
- NPI Number
- 1992790117
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 14, 2005 (20.898321518171 yrs)
- Last Updated
- Jun 11, 2019
- License
-
LP4000 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2113 CLIFF DREAGAN, MN, 551223327Browse MN providers · Browse ZIP 55122
- Phone
- 6517280922
- Primary Specialty
-
Clinical Neuropsychologist
103G00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.