Individual
ROBERT LAWRENCE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
875 MASSACHUSETTS AVE, CAMBRIDGE, MA 02139-3067
(617) 576-1098
Mailing address
33 MORNINGSIDE RD, NEEDHAM, MA 02492-3920
(617) 576-1098
(781) 438-5553
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3406
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102722
MAGELLAN
MH
01
—
715194
TUFTS
MD
01
—
8656-01
PACIFICARE
MA
01
—
W03598
BLUE CROSS BLUE SHIELD ID
MA
Enumeration date
04/19/2007
Last updated
07/08/2007
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