Individual
DR. AUDREY JEAN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1461 BRIGHTON AVE, GROVER BEACH, CA 93433-1890
(805) 471-3563
Mailing address
PO BOX 745, PISMO BEACH, CA 93448-0745
(805) 471-3563
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
30690
CA
Other
Enumeration date
09/12/2013
Last updated
02/22/2023
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