Jill Ann Miller, ED.S.
Individual provider Active NPI School Psychologist · Centerville, IN
NPI 1396563334 · NPPES record last updated Sep 30, 2024
Key facts
- NPI
- 1396563334
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Psychologist 103TS0200X
- License
- 1592554 (IN)
- Practice address
- 200 W South St
Centerville, IN 47330-1449 - Phone
- (765) 855-5132
- Fax
- (765) 855-5719
- NPI assigned
- Sep 30, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1592554 | IN | MD | School Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 1592554 | IN | Yes |
Addresses
Primary practice location
200 W South St
Centerville, IN 47330-1449
Mailing address
200 W South St
Centerville, IN 47330-1449
Phone (765) 855-5132
Other providers in Centerville, IN
- Kimberly Henry
- Lindsey Marie Humphreys
- Zia Ullah Khan
- Mackenzie Lanman
- Charlotte Darlene McArter
- Misfits Medicine LLC
- Antonio Neher
- Cassaundra L Overmier
- Reed Pasquinelli
- Ashlyn Jo Pritchett
All providers in Centerville, IN · School Psychologist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.