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DR. JOHN MINER PSY.D.

Clinical Neuropsychologist

Chestnut Hill, Massachusetts

Provider NPI: 1558380360

Provider Information:
DR. JOHN  MINER PSY.D.
Gender: M
Sole Proprietor


Practice Location:
100 ELIOT ST  CHESTNUT HILL, MA 02467 US
Tel: 617-782-0303  Fax: --

Business Mailing Address:
10 PORTSMOUTH ST  BOSTON, MA 02135 US
Tel: 617-782-0303  Fax: --

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
X103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
MA4462
X103TA0700XBehavioral Health & Social Service Providers
Psychologist
MA4462
X103TC0700XBehavioral Health & Social Service Providers
Psychologist
MA4462
X103TC2200XBehavioral Health & Social Service Providers
Psychologist
MA4462
X103TS0200XBehavioral Health & Social Service Providers
Psychologist
MA166523

Other Provider Identifiers:

IssuerNumberStateType
AETNA7764376MA01
HANCOCK13632MA01
TUFTS HEALTH CARE732087MA01
UNITED BEHAVIORAL HEALTH0495668MA01
0518255MA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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