JERRY L. MILLER M.A.
NPI 1235257288
Psychologist - Clinical in Fayetteville, NC

Active since March 27, 2007
930 CAMBRIDGE ST STE 107, FAYETTEVILLE, NC 28303(910) 433-2307 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jerry L. Miller M.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERRY L. MILLER M.A. (NPI 1235257288) is an individual clinical provider in Fayetteville, North Carolina, licensed in North Carolina (945) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1235257288
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameJERRY L. MILLERCredential: M.A.
Location Address930 CAMBRIDGE ST STE 107Fayetteville, NC 28303-5356
Mailing Address930 Cambridge St Ste 107Fayetteville, NC 28303-5356 · (910) 433-2307
Sole ProprietorYes
Enumeration DateMarch 27, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1235257288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in NC · 945
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

930 CAMBRIDGE ST STE 107, Fayetteville, NC 28303

Other Names 1

Professional Name (2)Jerry L Miller M.a.

Other Identifiers 1

Medicaid6107454NC

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry Miller's NPI number?

The NPI number for Jerry Miller is 1235257288. It was assigned to this individual provider in the NPPES registry on March 27, 2007. The provider is also known as Jerry L Miller M.A..

Where is Jerry Miller located?

Jerry Miller practices at 930 Cambridge St Ste 107, Fayetteville, NC 28303. The listed phone number is (910) 433-2307.

What is Jerry Miller's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Jerry Miller was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.