Individual
DR. MILTON T JAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D.
Contact information
Practice address
211 BELLEVUE ST, NEWTON, MA 02458-1812
(617) 928-3446
(617) 928-3446
Mailing address
211 BELLEVUE ST, NEWTON, MA 02458-1812
(617) 928-3446
(617) 928-3446
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
2764
MA
103T00000X
Psychologist
2764
MA
103TA0400X
Addiction (Substance Use Disorder) Psychologist
2764
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
70010000W02874
BLUE CROSS/BLUE SHIELD
MA
Enumeration date
12/29/2008
Last updated
12/29/2008
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