Organization
VIRGINIA M SHILLER, PH.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIRGINIA M SHILLER PH.D. (MEMBER)
(203) 776-3681
Entity
Organization
Contact information
Practice address
55 WATERTOWN ST UNIT 460, LEXINGTON, MA 02421-6358
(203) 415-7160
(203) 776-3681
Mailing address
55 WATERTOWN ST UNIT 460, LEXINGTON, MA 02421-6358
(203) 415-7160
(203) 776-3681
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1236
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004065801
—
CT
Enumeration date
05/16/2011
Last updated
09/08/2025
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