| Doctor Name: | DR. MIRANDA MARIA FILIPPIDES |
| NPI Number: | 1114938255 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | 0810003496 |
| Business Practice Address: | 57 Edwards Access Road Suite # 16 Edwards, CO - 81632 |
| Business Phone Number: | 9707662000 |
| Business Fax Number: | 9707662001 |
| Mailing Address: | Po Box 2410, AVON |
| State: | CO |
| Postal Code: | 816202410 |
| Phone Number: | 9707662000 |
| Fax Number: | 9707662001 |
| NPI Enumeration Date: | 08/11/2006 |
| NPI Last Update Date: | 04/03/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 0810003496 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |