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Contact Information

JACQUELYNN MILLER, PhD
4213 US RT 12
RICHMOND, IL60071
 Phone: 815-678-4242
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

School

103TS0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JACQUELYNN MILLER · (Female)

NPI # 1558233098
Status Active
Credentials PhD
Entity Individual
Enumeration date 09/23/2025
Last updated 09/23/2025 - About 8 months ago
Sole proprietor 1 No
Identifiers
  • IL License # 493431
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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