IndividualActive
Marissa Miller, PHD
NPI 1376199711 · Clinical Child & Adolescent Psychologist · Washington, DC
Provider details
- NPI number
- 1376199711
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 06171 (MD)
Mailing address
Po Box 744785
Atlanta, GA 30374-4785
Registry dates
- Enumerated
- 2019-08-12
- Last updated
- 2022-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.