Organization
MIRON OFFICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JILL MIRON PSY.D. (PSYCHOLOGIST)
(410) 375-8363
Entity
Organization
Contact information
Practice address
6014 JERRYS DR, COLUMBIA, MD 21044-3823
(410) 375-8363
Mailing address
6014 JERRYS DR, COLUMBIA, MD 21044-3823
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
04325
MD
Other
Enumeration date
04/27/2018
Last updated
04/27/2018
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