Provider Demographics
NPI:1215962998
Name:MILLER, BRANDY PARSONS (PHD)
Entity type:Individual
Prefix:DR
First Name:BRANDY
Middle Name:PARSONS
Last Name:MILLER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1230 SAINT REGIS DR
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75038-3732
Mailing Address - Country:US
Mailing Address - Phone:972-580-3696
Mailing Address - Fax:972-550-8791
Practice Address - Street 1:6350 LYNDON B JOHNSON FWY
Practice Address - Street 2:SUITE 151
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75240-6403
Practice Address - Country:US
Practice Address - Phone:214-536-7114
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX32835103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical