Individual
MIRANDA MILANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
55 CHAPEL ST STE 202, NEWTON, MA 02458-1072
(617) 658-9800
Mailing address
450 CHESTNUT ST, WRENTHAM, MA 02093-1752
(207) 314-3909
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
11498
MA
Other
Enumeration date
07/30/2021
Last updated
07/30/2021
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