Individual
DR. GARY TERRELL MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
80 GREAT OAKS BLVD, SAN JOSE, CA 95119-1310
(408) 363-3037
(408) 363-3046
Mailing address
80 GREAT OAKS BLVD, SAN JOSE, CA 95119-1310
(408) 363-3037
(408) 363-3046
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY12101
CA
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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