Provider Demographics
NPI:1700113495
Name:ORTIZ-MILLER, ABIGAIL
Entity Type:Individual
Prefix:MRS
First Name:ABIGAIL
Middle Name:
Last Name:ORTIZ-MILLER
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:ABIGAIL
Other - Middle Name:
Other - Last Name:ORTIZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:13 PELHAM RD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02421-5707
Mailing Address - Country:US
Mailing Address - Phone:781-274-6800
Mailing Address - Fax:781-274-0900
Practice Address - Street 1:13 PELHAM RD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:MA
Practice Address - Zip Code:02421-5707
Practice Address - Country:US
Practice Address - Phone:781-274-6800
Practice Address - Fax:781-274-0900
Is Sole Proprietor?:No
Enumeration Date:2009-11-17
Last Update Date:2010-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor