Miranda Jean Gilmore Clinical Psychologist
705 Hillside Ave Se, Pine City, MN 55063-1466


Miranda Jean Gilmore is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1114148798. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 3476863895. The primary specialty is CLINICAL PSYCHOLOGIST. The organization is THERAPEUTIC SERVICES AGENCY INC. The address is 705 Hillside Ave Se, Pine City, MN 55063-1466. The zip code is 55063.


Miranda Jean Gilmore · 705 Hillside Ave Se, Pine City, MN 55063-1466

Nation Provider ID 1114148798
PAC ID by PECOS 3476863895
Professional Enrollment ID I20151113001442
Last Name GILMORE
First Name MIRANDA
Middle Name JEAN
Gender F
Medical School Name OTHER
Graduation Year 2009
Primary Specialty CLINICAL PSYCHOLOGIST
Primary Specialty THERAPEUTIC SERVICES AGENCY INC
Phone Number 3206297600
Group Practice PAC ID 4981877891
Number of Group Practice Members 6
Address 705 HILLSIDE AVE SE
PINE CITY, MN 550631466
Professional accepts Medicare Assignment Y

Therapeutic Services Agency Inc · Medicare Physician

Name Address Specialty
Annette Huff 705 Hillside Ave Se, Pine City, MN 55063-1466 CLINICAL SOCIAL WORKER
Kristina Thompson 220 Railroad St Se, Pine City, MN 55063-1540 CLINICAL SOCIAL WORKER
Lyle Wagner 3907 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2520 CLINICAL PSYCHOLOGIST
Christine Johnson 220 Railroad St Se, Pine City, MN 55063-1540 CLINICAL PSYCHOLOGIST
Don Moyer 220 Railroad St Se, Pine City, MN 55063-1540 CLINICAL SOCIAL WORKER

Zip 55063 · Clinical Psychologist · Medicare Physician

Name Address Specialty
Kari Maynard 520 2nd Seave, Pine City, MN 55063 CLINICAL PSYCHOLOGIST
Christine Johnson 220 Railroad St Se, Pine City, MN 55063-1540 CLINICAL PSYCHOLOGIST

Zip 55063 · Medicare Physician

Name Address Specialty
Christopher Dockter 915 Main S St, Pine City, MN 55063 CHIROPRACTIC
Umair Rehman 100 Evergreen Swsq, Pine City, MN 55063-2000 FAMILY PRACTICE
Don Moyer 220 Railroad St Se, Pine City, MN 55063-1540 CLINICAL SOCIAL WORKER
Anne Sill 110 Sw Evergreen Sq, Pine City, MN 55063-2000 OPTOMETRY
Kristina Thompson 220 Railroad St Se, Pine City, MN 55063-1540 CLINICAL SOCIAL WORKER
Joseph Nilsson 253 5th Sest, Pine City, MN 55063-1580 CHIROPRACTIC
Kathryn Marvin 100 Evergreen Swsq, Pine City, MN 55063-2000 NURSE PRACTITIONER
Annette Huff 705 Hillside Ave Se, Pine City, MN 55063-1466 CLINICAL SOCIAL WORKER
Christine Johnson 220 Railroad St Se, Pine City, MN 55063-1540 CLINICAL PSYCHOLOGIST
Kari Maynard 520 2nd Seave, Pine City, MN 55063 CLINICAL PSYCHOLOGIST
Rachel Waxberg 805 Main S St, Pine City, MN 55063-1660 CHIROPRACTIC

Pine City · Medicare Physician

Name Address Specialty
Christopher Dockter 915 Main S St, Pine City, MN 55063 CHIROPRACTIC
Rachel Waxberg 805 Main S St, Pine City, MN 55063-1660 CHIROPRACTIC
Umair Rehman 100 Evergreen Swsq, Pine City, MN 55063-2000 FAMILY PRACTICE
Christine Johnson 220 Railroad St Se, Pine City, MN 55063-1540 CLINICAL PSYCHOLOGIST
Kristina Thompson 220 Railroad St Se, Pine City, MN 55063-1540 CLINICAL SOCIAL WORKER
Joseph Nilsson 253 5th Sest, Pine City, MN 55063-1580 CHIROPRACTIC
Anne Sill 110 Sw Evergreen Sq, Pine City, MN 55063-2000 OPTOMETRY
Kari Maynard 520 2nd Seave, Pine City, MN 55063 CLINICAL PSYCHOLOGIST
Kathryn Marvin 100 Evergreen Swsq, Pine City, MN 55063-2000 NURSE PRACTITIONER
Annette Huff 705 Hillside Ave Se, Pine City, MN 55063-1466 CLINICAL SOCIAL WORKER
Don Moyer 220 Railroad St Se, Pine City, MN 55063-1540 CLINICAL SOCIAL WORKER