Provider Demographics
NPI:1710478953
Name:AFRAME, MIRIAM (PSYD)
Entity Type:Individual
Prefix:
First Name:MIRIAM
Middle Name:
Last Name:AFRAME
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 LYMAN ST STE 400
Mailing Address - Street 2:
Mailing Address - City:WESTBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01581-1434
Mailing Address - Country:US
Mailing Address - Phone:508-898-0055
Mailing Address - Fax:508-898-0035
Practice Address - Street 1:33 LYMAN ST STE 400
Practice Address - Street 2:
Practice Address - City:WESTBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01581-1434
Practice Address - Country:US
Practice Address - Phone:508-898-0055
Practice Address - Fax:508-898-0035
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-23
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA9328103TC0700X
MA9328-PY-PR103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical