Organization
RONALD B. MILLER, PHD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD B. MILLER PHD (PSYCHOLOGIST/MANAGER)
(802) 654-7075
Entity
Organization
Contact information
Practice address
123 ETHAN ALLEN AVE, COLCHESTER, VT 05446-3311
(802) 654-7075
Mailing address
94 BUTTERNUT LN, SHELBURNE, VT 05482-6925
(802) 654-7075
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
056
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010121
—
VT
Enumeration date
02/04/2014
Last updated
02/04/2014
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