1134920721 NPI number — DIANNA KAYE MILLER LCSW

Table of content: DIANNA KAYE MILLER LCSW (NPI 1134920721)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1134920721 NPI number — DIANNA KAYE MILLER LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MILLER
Provider First Name:
DIANNA
Provider Middle Name:
KAYE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LCSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
FALKENSTEIN
Provider Other First Name:
DIANNA
Provider Other Middle Name:
KAYE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1134920721
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/20/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
701 W SIDDONSBURG RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DILLSBURG
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
17019-9340
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
717-916-4400
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
412 ERFORD RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CAMP HILL
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17011-1117
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-305-2700
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/20/2025

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  CW021668 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)