Most Relevant Information
Provider Data
| NPI Number: | 1003819566 |
| Provider Name: | JOHN S MILLER PH.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 103TC0700X |
| Specialty: | Psychologist |
| License Number: | PSY14926 |
Most Important Dates
| Enumeration Date: | 05/27/2005 |
| Last Updated: | 05/04/2015 |
Provider Practice Location
2055 ANDERSON RD
DAVIS
CA
956160672
Practice Location Phone/Fax
| Phone: | 5307581580 |
| Fax: | 5307589869 |
Provider Mailing Location
PO BOX 483
DAVIS
CA
956170483
Provider Mailing Phone/Fax
| Phone: | 5307581580 |
| Fax: | 5307589869 |