Ivan W. Miller III PHD

NPI 1093808750 - Psychologist - 103T00000X

NPI Details
NPI 1093808750
Gender Male
Enumeration Date 10/02/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
345 BLACKSTONE BLVD
PROVIDENCE RI, 02906-4800, US
Phone (401) 455-6383
Fax (401) 455-6309
Business Location
345 BLACKSTONE BLVD
PROVIDENCE RI, 02906-4800, US
Phone (401) 455-6383
Fax (401) 455-6293
Toxanomy
Taxonomy Code 103T00000X
License State Rhode Island
License Number PS00217
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According to our database, Dr. Ivan W. Miller III PHD NPI is 1093808750, taxonomy code is 103T00000X and license number is PS00217, license state is located at Rhode Island. Ivan W. Miller III PHD physically located at 345 Blackstone Blvd, Providence RI, 02906-4800. NPI Number Ivan W. Miller III PHD has the Individual type.

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1093808750 NPI number is provided on an as is basis without warranty of any kind. 1093808750 is maintained by the National Plan & Provider Enumeration System. The contents of Ivan W. Miller III PHD are for informational purposes only.