Individual
DR. RICK E MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
515 27TH ST E, STE 3, BRADENTON, FL 34208-1864
(941) 748-2697
Mailing address
2661 PURSLANE DR, FORT MYERS, FL 33905-2436
(262) 716-6401
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
9037
FL
103TC0700X
Clinical Psychologist
1047
WI
103TC0700X
Clinical Psychologist
PY 9037
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3904330
—
WI
Enumeration date
12/19/2006
Last updated
11/11/2018
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