Mia Medina is a Psychologist in Boston, Massachusetts. Mia Medina practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Mia Medina is 1710179320. The last update date is 2007-08-16.
Mia Medina's current location address is 186 Beacon St, Boston, Massachusetts. You can contact this provider via phone number 6179837346. The mailing address for Mia Medina is 186 Beacon St, Boston, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mia Medina |
|---|---|
| Address | 186 Beacon St, Boston, Massachusetts |
| Phone Number | 6179837346 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1710179320 |
|---|---|
| Provider Enumeration Date | 2007-08-16 |
| Last Updated Date | 2007-08-16 |
Provider Mailing Address Detail
| Address | 186 Beacon St |
|---|---|
| City | Boston |
| State | Massachusetts (MA) |
| Post Code | 21161342 |
| Phone Number | 6179837346 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 8737 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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What is the unique identification code assigned to Mia Medina by the Centers for Medicare & Medicaid Services?
The Mia Medina has been issued the NPI (National Provider Identifier) 1710179320. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Mia Medina located?
The Mia Medina is located at 186 Beacon St, Boston, MA 21161342.
What is the Mia Medina's area of specialization and corresponding taxonomy classification?
The Mia Medina's specialty field is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their specialties.
On what date did the Mia Medina receive the assignment of its 1710179320 from the Centers for Medicare & Medicaid Services?
The Mia Medina was issued its 1710179320 by the Centers for Medicare & Medicaid Services on 2007-08-16.
When was the information related to Mia Medina most recently updated or refreshed?
The details pertaining to the Mia Medina, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-08-16.
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