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Mr. Timothy Michael Miller, LSW,LICDC-S
Addiction Medicine (Psychiatry & Neurology) Physician in Columbus, Ohio
NPI 1528694643

Timothy Michael Miller is an Addiction Medicine (Psychiatry & Neurology) Physician based in Galena, OH and is specialized in Addiction Medicine. Timothy Michael Miller practices in Columbus, OH and has the professional credentials of LSW,LICDC-S. The NPI Number for Timothy Michael Miller is 1528694643 and holds a License No. 001104 (Ohio).

The current practice location address for Timothy Michael Miller is 1441 Phale D. Hale Dr., Columbus, OH and can be reached out via phone at 614-257-3754.

Location: 1441 Phale D. Hale Dr., Columbus, OH, 43021-9633
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Provider Profile Details
NPI Number
1528694643
Provider Name
Timothy Michael Miller
Credential
LSW,LICDC-S
Provider Entity Type
Individual
Gender
Male
Address
1441 Phale D. Hale Dr., Columbus, OH, 43021-9633
Phone Number
614-257-3754
Fax Number
Provider Enumeration Date
03/20/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NONE 01
101010101 01 1010101
institution
Provider Business Practice Location Address Details
Address
1441 Phale D. Hale Dr.
City
State
Zip
43203
Phone Number
614-257-3754
Fax Number
person
Provider Business Mailing Address Details
Address
1441 Phale D. Hale Dr.
City
State
Zip
43203
Phone Number
614-257-3754
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Addiction Medicine
Taxonomy
License No.
001104 (Ohio)
Definition
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
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