Individual
DR. KENNETH ERIC MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
22 WHITNEY AVE # 2, CAMBRIDGE, MA 02139-4612
(617) 845-0002
Mailing address
18 WHITNEY AVENUE #2, CAMBRIDGE, MA 02139-4612
(617) 803-3596
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
9219
MA
Other
Enumeration date
02/25/2011
Last updated
02/25/2011
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