Individual
RONALD COLBY MILLER
Active
Individual
RONALD COLBY MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3676
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202622779-85016-A002
TRICARE/TRIWEST
AZ
01
—
374415
MHN
AZ
01
—
6100810
EVERCARE CHOICE
AZ
01
—
7000831
AETNA
AZ
01
—
910184
EVERCARE SELECT
AZ
01
—
9402957
PHCS
AZ
01
—
AZ0623430
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
08/30/2006
Last updated
05/21/2009
Update your record
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