Individual
DR. JAMIE A. MICCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
747 MAIN ST, SUITE 119, CONCORD, MA 01742-3302
(978) 505-6684
Mailing address
747 MAIN ST STE 324, CONCORD, MA 01742-3329
(978) 405-2544
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
8826
MA
Other
Enumeration date
06/04/2007
Last updated
09/01/2020
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