Carlita Dionne Miller
Individual provider Active NPI Intellectual & Developmental Disabilities Psychologist · Dover, FL
NPI 1659560779 · NPPES record last updated Oct 15, 2007
Key facts
- NPI
- 1659560779
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Intellectual & Developmental Disabilities Psychologist 103TM1800X
- Practice address
- 1701 Crossfield Manor Dr
Dover, FL 33527-4946 - Phone
- (813) 681-6511
- Fax
- (813) 654-1419
- NPI assigned
- Oct 15, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | Yes | ||
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
1701 Crossfield Manor Dr
Dover, FL 33527-4946
Mailing address
1701 Crossfield Manor Dr
Dover, FL 33527-4946
Phone (813) 681-6511
Other providers in Dover, FL
- Jacob Lynch
- Christopher Mathew
- Saroja Medidi
- Subhakararao Medidi
- Jacquelyn Mentor
- Jennifer Lyn Miller
- Christina Trang Nguyen
- Nurture and Bloom Postpartum Care, LLC
- Bianca E Olivieri
- Michael Steven Ortiz
All providers in Dover, FL · Intellectual & Developmental Disabilities Psychologist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2007. 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.