DR. LARRY JACK MILLER PH.D. NPI 1699849372

NPI Information

NPI: 1699849372
Provider Name: DR. LARRY JACK MILLER, PH.D.
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
4131 SPICEWOOD SPRINGS RD
SUITE K-8
AUSTIN, TX
ZIP 78759
Phone: (512) 502-1882
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DR. Larry Jack Miller, PH.D. is a mental health counselor in Austin, TX. DR. Larry Jack Miller, PH.D. NPI is 1699849372. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4131 SPICEWOOD SPRINGS RD
SUITE K-8
AUSTIN, TX
ZIP 78759-661
Phone: (512) 502-1882
Fax: (502) 346-4188

The enumeration date for this NPI number is 11/17/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	2 1851	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00939Y	MEDICARE ID-TYPE UNSPECIFIED	TEXAS
2	GK 72	OTHER	TEXAS	BLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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