Individual
MICHELE L. MILLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
333 WESTERN AVE, CAMBRIDGE, MA 02139-3747
(617) 547-0703
Mailing address
333 WESTERN AVE, CAMBRIDGE, MA 02139-3747
(617) 547-0703
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
7552
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1854607
—
MA
01
—
W05871
BLUE CROSS BLUE SHIELD
MA
Enumeration date
02/13/2007
Last updated
07/08/2007
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