Defant, Miriam Ann
Defant, Miriam Ann is an sole proprietor health care provider with primary practice located at 131 W Main St Ste 27 , Orange MA 01364-1151. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Defant, Miriam Ann can be contacted via phone (978) 544-3330.Contact Information
Primary practice address
131 W Main St Ste 27
Orange MA 01364-1151
Phone: (978) 544-3330
Fax: (978) 544-1899
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 6207 | Massachusetts |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 6207 | Massachusetts |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 6207 | Massachusetts |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 6207 | Massachusetts |
Profile Details
| NPI number | 1811006877 |
|---|---|
| LBN Legal business name | Defant, Miriam Ann |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Feb 20th, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811006877 | NPPES |
| Massachusetts | Other | DE W04980 | BLUE CROSS BLUE SHIELD |
| Massachusetts | Other | 102900 | BLUE CROSS BLUE SHIELD |
| Massachusetts | Other | 5503602 | BLUE CROSS BLUE SHIELD |
| Massachusetts | MEDICAID | 0502570 | BLUE CROSS BLUE SHIELD |
| Massachusetts | Other | 726233 | BLUE CROSS BLUE SHIELD |
| Massachusetts | Other | 093085 | BLUE CROSS BLUE SHIELD |
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