Provider Demographics
NPI:1861534893
Name:MULLER, JAMES JULIUS (PHD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:JULIUS
Last Name:MULLER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:78 MORNINGSIDE RD
Mailing Address - Street 2:
Mailing Address - City:NEEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02492-3921
Mailing Address - Country:US
Mailing Address - Phone:781-453-0208
Mailing Address - Fax:781-453-0207
Practice Address - Street 1:1290 WORCESTER RD.
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01702
Practice Address - Country:US
Practice Address - Phone:508-872-1650
Practice Address - Fax:508-370-7282
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA1547103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAW01460Medicare ID - Type Unspecified