Individual
DR. MICHAEL J GILEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
11406 LOMA LINDA DR RM 105, LOMA LINDA, CA 92354-3711
(909) 558-6220
(909) 558-6278
Mailing address
11406 LOMA LINDA DR RM 105, LOMA LINDA, CA 92354-3711
(909) 558-6220
(909) 558-6278
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY 9194
CA
103TA0700X
Adult Development & Aging Psychologist
PSY 9194
CA
103TR0400X
Rehabilitation Psychologist
PSY 9194
CA
Other
Enumeration date
06/21/2005
Last updated
07/21/2022
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