Individual
DR. JEREMY MIRSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
5 NEPONSET ST, WORCESTER, MA 01606-2714
(508) 856-0732
(508) 425-5126
Mailing address
5 NEPONSET ST FL STREET12, WORCESTER, MA 01606-2714
(508) 856-0732
(508) 425-5126
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
002580
CT
103T00000X
Psychologist
Primary
9362
MA
Other
Enumeration date
06/15/2006
Last updated
09/26/2018
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