Provider Demographics
NPI:1336340702
Name:MILLER, LOIS GAY
Entity Type:Individual
Prefix:MRS
First Name:LOIS
Middle Name:GAY
Last Name:MILLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 BAREFOOT HILL RD
Mailing Address - Street 2:
Mailing Address - City:SHARON
Mailing Address - State:MA
Mailing Address - Zip Code:02067-2801
Mailing Address - Country:US
Mailing Address - Phone:781-784-6528
Mailing Address - Fax:
Practice Address - Street 1:19 BAREFOOT HILL RD
Practice Address - Street 2:
Practice Address - City:SHARON
Practice Address - State:MA
Practice Address - Zip Code:02067-2801
Practice Address - Country:US
Practice Address - Phone:781-784-6528
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA324103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist