Miranda, Lydia

Miranda, Lydia is an sole proprietor health care provider with primary practice located at 161 S Huntington Ave , Jamaica Plain MA 02130-4885. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Miranda, Lydia can be contacted via phone (617) 264-5367.

Contact Information

Primary practice address
161 S Huntington Ave Jamaica Plain MA 02130-4885
Phone: (617) 264-5367
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1073650941
LBN Legal business name Miranda, Lydia
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 31st, 2007
Last updated Jul 8th, 2007 - about 18 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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