Ivan W. Miller is a Psychologist in Providence, Rhode Island. Ivan W. Miller practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Ivan W. Miller is 1093808750. The last update date is 2007-07-08.
Ivan W. Miller's current location address is 345 Blackstone Blvd, Providence, Rhode Island. You can contact this provider via phone number 4014556383 and fax number 4014556293. The mailing address for Ivan W. Miller is 345 Blackstone Blvd, Providence, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ivan W. Miller |
|---|---|
| Address | 345 Blackstone Blvd, Providence, Rhode Island |
| Phone Number | 4014556383 |
| Fax Number | 4014556293 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1093808750 |
|---|---|
| Provider Enumeration Date | 2006-10-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 345 Blackstone Blvd |
|---|---|
| City | Providence |
| State | Rhode Island (RI) |
| Post Code | 29064800 |
| Phone Number | 4014556383 |
| Fax Number | 4014556293 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PS00217 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Post Comment/ Review Below
What is the Ivan W. Miller's 1093808750?
The Ivan W. Miller's NPI (National Provider Identifier) Number is 1093808750. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Ivan W. Miller?
The Ivan W. Miller is situated at 345 Blackstone Blvd, in the city of Providence, state of RI, with the zip code 29064800.
What is the area of specialization for Ivan W. Miller, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Ivan W. Miller is Psychologist, and the corresponding taxonomy code that categorizes this area of expertise is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1093808750 to Ivan W. Miller?
The Centers for Medicare & Medicaid Services originally issued the 1093808750 to Ivan W. Miller on 2006-10-02.
When was the Ivan W. Miller's information last updated?
The Ivan W. Miller's information was last updated on 2007-07-08.