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Individual
DR. JOHN MINER
Active
Individual
DR. JOHN MINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
4462
MA
103TA0700X
Adult Development & Aging Psychologist
4462
MA
103TC0700X
Clinical Psychologist
4462
MA
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
4462
MA
103TS0200X
School Psychologist
166523
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0495668
UNITED BEHAVIORAL HEALTH
MA
05
—
0518255
—
MA
01
—
13632
HANCOCK
MA
01
—
732087
TUFTS HEALTH CARE
MA
01
—
7764376
AETNA
MA
Enumeration date
07/19/2006
Last updated
09/11/2025
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