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Dr. Nicole Marie-poupeney Miller, HSPP
Health Service Psychologist in White City, Oregon
NPI 1942501705

Nicole Marie-poupeney Miller is a Health Service Psychologist based in White City, OR and is specialized in Health Service. Nicole Marie-poupeney Miller practices in White City, OR and has the professional credentials of HSPP. The NPI Number for Nicole Marie-poupeney Miller is 1942501705 and holds a License No. 20042459A (Oregon).

The current practice location address for Nicole Marie-poupeney Miller is 8495 Crater Lake Hwy, White City, OR and can be reached out via phone at 541-826-2111 and via fax at 541-830-3516.

Location: 8495 Crater Lake Hwy, White City, OR, 97503
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942501705
Provider Name
Nicole Marie-poupeney Miller
Credential
HSPP
Provider Entity Type
Individual
Gender
Female
Address
8495 Crater Lake Hwy, White City, OR, 97503
Phone Number
541-826-2111
Fax Number
541-830-3516
Provider Enumeration Date
11/10/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8495 Crater Lake Hwy
City
White City
State
Oregon
Zip
97503
Phone Number
541-826-2111
Fax Number
541-830-3516
person
Provider Business Mailing Address Details
Address
8495 Crater Lake Hwy
City
White City
State
Oregon
Zip
97503
Phone Number
541-826-2111
Fax Number
541-830-3516
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Health Service
Taxonomy
103TH0100X
License No.
20042459A (Indiana)
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
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