Individual
RONALD COLBY MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1745 S ALMA SCHOOL RD, 172, MESA, AZ 85210-3009
(602) 324-4676
(480) 209-1063
Mailing address
1745 S ALMA SCHOOL RD, 172, MESA, AZ 85210-3009
(602) 324-4676
(480) 209-1063
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
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