Healthcare Provider Details

I. General information

NPI: 1013211077
Provider Name (Legal Business Name): KAREN A MIRANDA PSY.D., LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/05/2011
Last Update Date: 01/05/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

64 ELDREDGE ST
NEWTON MA
02458-2017
US

IV. Provider business mailing address

PO BOX 320505
BOSTON MA
02132-0009
US

V. Phone/Fax

Practice location:
  • Phone: 617-969-4925
  • Fax:
Mailing address:
  • Phone: 617-275-3718
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number7122
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: