Ricardo, Mia M

Ricardo, Mia M is an sole proprietor health care provider with primary practice located at 361 Plantation St , Worcester MA 01605-2323. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Ricardo, Mia M can be contacted via phone (774) 420-3136.

Contact Information

Primary practice address
361 Plantation St Worcester MA 01605-2323
Phone: (774) 420-3136
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Forensic 103TF0200X
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1477258796
LBN Legal business name Ricardo, Mia M
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2023
Last updated Apr 4th, 2023 - about 2 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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