Individual provider · Type 1 NPI

Ivan W. Miller Iii, PhD

Psychologist · Providence, RI

NPI number 1093808750 Active

Practice location

345 Blackstone Blvd
Providence, RI 02906-4800

Fax (401) 455-6309

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XPS00217 (RI)

Psychologist: 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 procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1093808750

Ivan W. Miller Iii, PhD's National Provider Identifier is 1093808750, issued on Oct 2, 2006. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Providence, RI. The record was last updated on Jul 8, 2007.