Dr. Kenneth Eric Miller, Ph.D.
Psychologist, Clinical in Cambridge, MA. Individual provider (NPI-1).
NPI number1497052526
StatusActive
Last updated in NPPESFeb 25, 2011
Details
- NPI
- 1497052526
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kenneth Eric Miller
- Credential
- Ph.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 25, 2011
- Last updated
- Feb 25, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 9219 | MA | Yes |
Practice location
22 Whitney Ave # 2Cambridge, MA 02139-4612
Phone 617-845-0002
Mailing address
18 Whitney Avenue #2Cambridge, MA 02139-4612
Phone 617-803-3596
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