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Individual

SHELLIE MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D

Contact information

Practice address
372 WASHINGTON ST, WELLESLEY, MA 02481-6202
(781) 239-3550
(781) 239-3272
Mailing address
372 WASHINGTON ST, WELLESLEY, MA 02481-6202
(781) 239-3550
(781) 239-3272

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6669
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
799447
TUFTS HEALTH PLAN
MA
01
W05341
BLUE CROSS OF MA
MA
Enumeration date
08/21/2006
Last updated
07/08/2007
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