Provider Demographics
NPI:1811036494
Name:MILLMAN, STEVE JEFFREY (PHD)
Entity Type:Individual
Prefix:DR
First Name:STEVE
Middle Name:JEFFREY
Last Name:MILLMAN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 CHISWICK TER
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02135-4611
Mailing Address - Country:US
Mailing Address - Phone:617-254-3601
Mailing Address - Fax:
Practice Address - Street 1:9 CHISWICK TER
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:MA
Practice Address - Zip Code:02135-4611
Practice Address - Country:US
Practice Address - Phone:617-254-3601
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA309714101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor