Individual
DR. ELAINE STACEY MCMILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
80 GREAT OAKS BLVD, SAN JOSE, CA 95119-1310
(408) 363-3000
Mailing address
80 GREAT OAKS BLVD, SAN JOSE, CA 95119-1310
(408) 363-3000
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
23530
CA
Other
Enumeration date
05/21/2010
Last updated
05/21/2010
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