Miranda, Caitlin Marie

Miranda, Caitlin Marie is an individual health care provider with primary practice located at 21 E 2Nd St , Riverhead NY 11901-4686. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Miranda, Caitlin Marie can be contacted via phone (631) 766-8702.

Contact Information

Primary practice address
21 E 2Nd St Riverhead NY 11901-4686
Phone: (631) 766-8702
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 29705 California
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 023050 New York

Profile Details

NPI number 1821640079
LBN Legal business name Miranda, Caitlin Marie
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2019
Last updated Jul 9th, 2019 - about 6 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.

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