Provider Demographics
NPI:1801358528
Name:DENISE MILLER-ZHANG, PC
Entity Type:Organization
Organization Name:DENISE MILLER-ZHANG, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:N
Authorized Official - Last Name:MILLER-ZHANG
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:413-219-9685
Mailing Address - Street 1:1 S END BRIDGE CIR
Mailing Address - Street 2:
Mailing Address - City:AGAWAM
Mailing Address - State:MA
Mailing Address - Zip Code:01001-2020
Mailing Address - Country:US
Mailing Address - Phone:413-219-9685
Mailing Address - Fax:413-278-2523
Practice Address - Street 1:1 S END BRIDGE CIR
Practice Address - Street 2:
Practice Address - City:AGAWAM
Practice Address - State:MA
Practice Address - Zip Code:01001-2020
Practice Address - Country:US
Practice Address - Phone:413-219-9685
Practice Address - Fax:413-278-2523
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-02
Last Update Date:2020-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)