Individual
DR. JEFFREY CHARLES MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
366 S CALIFORNIA AVE, SUITE 7, PALO ALTO, CA 94306-1643
(650) 321-0410
Mailing address
366 S CALIFORNIA AVE, SUITE 7, PALO ALTO, CA 94306-1643
(650) 321-0410
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY18489
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY18489
CALIFORNIA BOARD OF PSYCHOLOGY LICENSE NUMBER
CA
Enumeration date
08/30/2011
Last updated
08/30/2011
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