| Doctor Name: | DR. CLIFFORD MILES KARMIOHL |
| NPI Number: | 1114983939 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | 048-0000522 |
| Business Practice Address: | 22 Patchen Rd South Burlington, VT - 054035704 |
| Business Phone Number: | 8028643012 |
| Business Fax Number: | |
| Mailing Address: | 22 Patchen Rd, SOUTH BURLINGTON |
| State: | VT |
| Postal Code: | 054035704 |
| Phone Number: | 8024345838 |
| Fax Number: | |
| NPI Enumeration Date: | 04/21/2006 |
| NPI Last Update Date: | 05/11/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC2200X |
| License Number: | 048-0000522 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical Child & Adolescent |
| Taxonomy Definition: | |