MS. SHOINE MILLER


Address: 16127 Riverview St, Detroit, MI 48219-3722
Phone: 3137210146

MS. SHOINE MILLER (NPI# 1538655055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538655055
Entity Type Individual
Full Name MS. SHOINE MILLER
Practice Address 16127 Riverview St
Detroit
MI 48219-3722
Practice Telephone 3137210146
Mailing Telephone 3137210146
Enumeration Date 2018-07-09
Last Update Date 2018-07-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TA0700X Psychologist
Specialization: Adult Development & Aging
MI Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NONE NONE 01
HOME CARE A6553002 01

Office Location

Street Address 16127 RIVERVIEW ST
City DETROIT
State MI
Zip Code 48219-3722

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Taxonomy Information

Taxonomy Code 103TA0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Adult Development & Aging

Taxonomy Definition

Definition to come...

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Competitor

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City DETROIT
Zip Code 48219

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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