# RONALD B. MILLER, PHD, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720401250
- **Authorized official:** DR. RONALD B. MILLER PHD (PSYCHOLOGIST/MANAGER)
- **Authorized official phone:** (802) 654-7075

## Contact information

- **Practice address:** 123 ETHAN ALLEN AVE, COLCHESTER, VT 05446-3311
- **Practice address phone:** (802) 654-7075
- **Mailing address:** 94 BUTTERNUT LN, SHELBURNE, VT 05482-6925
- **Mailing address phone:** (802) 654-7075

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 056 | VT | Yes |

## Other

- **Enumeration date:** 02/04/2014
- **Last updated:** 02/04/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1010121 | — | VT |