Doctor Name: | MIRA CHRISTINE MUNIZ |
NPI Number: | 1265658173 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 22 Pleasant St Malden, MA - 021485119 |
Business Phone Number: | 7813382640 |
Business Fax Number: | |
Mailing Address: | 20 Summer St, Apt. 901 MALDEN |
State: | MA |
Postal Code: | 021483909 |
Phone Number: | 7813382640 |
Fax Number: | 7813382217 |
NPI Enumeration Date: | 04/18/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |