Alisa Bourne Miller M.A.

NPI 1477838142 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1477838142
Gender Female
Enumeration Date 10/13/2011
Last Updated 05/03/2012
Entity Type Individual
Active Over 5 years ago
Practice Location
150 SOUTH HUNTINGTON AVE
VA BOSTON HEALTHCARE SYSTEM, PSYCHOLOGY SERVICE (116B)
BOSTON MA, 02130, US
Phone (612) 695-5374
Fax
Business Location
150 SOUTH HUNTINGTON AVE
VA BOSTON HEALTHCARE SYSTEM, PSYCHOLOGY SERVICE (116B)
BOSTON MA, 02130, US
Phone (612) 695-5374
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Ms. Alisa Bourne Miller M.A. NPI is 1477838142, taxonomy code is 390200000X Alisa Bourne Miller M.A. physically located at 150 South Huntington Ave, Boston MA, 02130. NPI Number Alisa Bourne Miller M.A. has the Individual type.

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1477838142 NPI number is provided on an as is basis without warranty of any kind. 1477838142 is maintained by the National Plan & Provider Enumeration System. The contents of Alisa Bourne Miller M.A. are for informational purposes only.