Basic Information
Provider Information
NPI: 1144801341
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MILLER
FirstName: MARGARET
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: PHD
OtherOrganizationName:  
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Mailing Information
Address1: 5450 FRANTZ RD STE 360
Address2:  
City: DUBLIN
State: OH
PostalCode: 430164141
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 931 CHATHAM LN STE 201
Address2:  
City: COLUMBUS
State: OH
PostalCode: 432212417
CountryCode: US
TelephoneNumber: 6145335500
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/19/2021
LastUpdateDate: 03/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/21/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
103G00000X  Y Behavioral Health & Social Service ProvidersClinical Neuropsychologist 

No ID Information.


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