Ivan J. Miller, Phd, Inc.

NPI #1811614951 in Boulder, Colorado

Provider Information

NPI Number: 1811614951
Entity Type: Organization
Organization Name: Ivan J. Miller, Phd, Inc.
Subpart: Yes (part of a larger organization)
Parent Organization: BOULDER PSYCHOTHERAPISTS GUILD INC
Primary Specialty: Psychologist - Clinical
Enumeration Date: Oct 19, 2022
Last Updated: Oct 19, 2022

Practice Location

Address: 350 BROADWAY ST STE 210
City: Boulder
State: Colorado
ZIP Code: 80305-3338
Phone: (303) 870-1529

Authorized Official

Name: IVAN J MILLER, PHD
Title: OWNER
Phone: (303) 870-1529

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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