Miles, Gary Terrell
Miles, Gary Terrell is an sole proprietor health care provider with primary practice located at 80 Great Oaks Blvd , San Jose CA 95119-1310. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Miles, Gary Terrell can be contacted via phone (408) 363-3037.Contact Information
Primary practice address
80 Great Oaks Blvd
San Jose CA 95119-1310
Phone: (408) 363-3037
Fax: (408) 363-3046
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | PSY12101 | California |
Profile Details
NPI number | 1275621468 |
---|---|
LBN Legal business name | Miles, Gary Terrell |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 11th, 2006 |
Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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