Individual
JESSICA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
140 UPLAND RD, CAMBRIDGE, MA 02140-3623
(617) 864-5286
Mailing address
19 BELLEVUE AVE, CAMBRIDGE, MA 02140-3634
(617) 864-5286
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6262
MA
Other
Enumeration date
08/06/2007
Last updated
10/10/2008
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