Miranda, Jacqueline

Miranda, Jacqueline is an individual health care provider with primary practice located at 333 Longwood Ave Floor 6, Boston MA 02115-5711. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Miranda, Jacqueline can be contacted via phone (617) 355-5250.

Contact Information

Primary practice address
333 Longwood Ave Floor 6 Boston MA 02115-5711
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1026284 Massachusetts

Profile Details

NPI number 1053370080
LBN Legal business name Miranda, Jacqueline
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Popular Providers