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NPI Code Detail

MEDICARE: MRS. PAMELA SMITH MILLER MS

MEDICARE: MRS. PAMELA SMITH MILLER MS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorMA

General Provider Information

NPI Number : 1730397126
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. PAMELA SMITH MILLER MS
Provider Business Mailing Address
First Line : 549 COLUMBIAN ST
Second Line :
City : WEYMOUTH
State : MA
Zip : 02190-1138
Country : US
Telephone Number : 781-331-1906
Fax Number :
Provider Business Practice Location Address
First Line : 549 COLUMBIAN ST
Second Line :
City : WEYMOUTH
State : MA
Zip : 02190-1138
Country : US
Telephone Number : 781-331-1906
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2007
Last Update Date : 04/24/2014

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Directions to “ MRS. PAMELA SMITH MILLER MS” Practice Location

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