MRS. JILL LAUREN MIRON


Address: 5525 Twin Knolls Rd, Suite 327, Columbia, MD 21045-3266
Phone: 4109929149

MRS. JILL LAUREN MIRON (NPI# 1104948819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104948819
Entity Type Individual
Full Name MRS. JILL LAUREN MIRON
Credential PSY.D.
Practice Address 5525 Twin Knolls Rd
Suite 327
Columbia
MD 21045-3266
Mailing Address 3200 Timberfield Ln
Baltimore
MD 21208-4422
Practice Telephone 4109929149
Practice Fax Number 4109929921
Mailing Telephone 4104868188
Mailing Fax Number 4109929921
Enumeration Date 2007-04-04
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
3014 CO Behavioral Health & Social Service Providers

Office Location

Street Address 5525 TWIN KNOLLS RD
SUITE 327
City COLUMBIA
State MD
Zip Code 21045-3266

Providers in the same location

NPI Name Taxonomy Address Enumeration
1578504296 Columbia Counseling Center P.a. Psychologist 5525 Twin Knolls Rd, Suite 327, Columbia, MD 21045-3266 2006-06-10
1952762635 Neha Patel Psychologist 5525 Twin Knolls Rd, Suite 327, Columbia, MD 21045-3266 2016-03-09
1750720744 Ida C Deliberis Psychologist 5525 Twin Knolls Rd, 327 and 329, Columbia, MD 21045-3266 2013-06-23
1750724282 Monique Reynolds Psychologist 5525 Twin Knolls Rd, Suite 327 and 329, Columbia, MD 21045-3266 2013-04-15
1043561665 Tina Marie Hickson Massage Therapist 5525 Twin Knolls Rd, Suite 321, Columbia, MD 21045-3266 2012-09-21
1780932780 Ann Elisabeth Kimball Psychologist 5525 Twin Knolls Rd, Ste. 327, Columbia, MD 21045-3266 2012-08-22
1235401092 Virginia Zimmerman Psychologist 5525 Twin Knolls Rd, Suite 327, Columbia, MD 21045-3266 2012-02-08
1932404423 John Joseph Coughlin IIi Psychologist 5525 Twin Knolls Rd, Suite 327, Columbia, MD 21045-3266 2011-01-14
1780994004 Melanie Sholtis Psychologist 5525 Twin Knolls Rd, Suite 327, Columbia, MD 21045-3266 2010-10-20
1457684664 Tanya Justyne Quille Psychologist 5525 Twin Knolls Rd, Columbia, MD 21045-3266 2009-09-08
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215541040 Charles A Burgess Psychologist 119 Parker Hall, Columbia, MO 65211-2340 2020-08-31
1851910335 Columbia Psychology Healing Center LLC Psychologist 1900 N Providence Rd Ste 327, Columbia, MO 65202-3710 2020-04-14
1518515097 Warrenetta Crawford Mann Psychologist 1409 Devine Street Thomson Building, Columbia, SC 29208-0001 2019-08-28
1528523420 Daniel Franco Psychologist 4501 Kentsfield Ln, Columbia, MO 65201-3587 2019-02-05
1861964207 Erin Joy Schuyler Psychologist 26 Barn Owl Ct, Columbia, SC 29209-4488 2018-12-26
1467944439 Zixuan Wang Psychologist 10000 Town Center Ave Apt 434, Columbia, MD 21044-5447 2018-06-05
1366990384 Amanda Marie Jones Psychologist 6851 Oak Hall Ln Ste 118, Columbia, MD 21045-5815 2016-09-19
1124574850 Patrick Steele Psychologist 1531 Laurel St, Columbia, SC 29201 2016-09-01
1073968061 Tara Acevedo, Psy.d., PC Psychologist 6213 Deep Earth Ln, Columbia, MD 21045-2565 2016-04-27
1467833798 Matthew Edmond Fitzgerald Psychologist 6801 Oak Hall Ln # 2254, Columbia, MD 21045-9998 2015-06-11
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Competitor

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City COLUMBIA
Zip Code 21045

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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