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Dr. Gary Michael Miller
Clinical Psychologist in Petaluma, California
NPI 1932129327

Gary Michael Miller is a Clinical Psychologist based in Temecula, CA and is specialized in Clinical. Gary Michael Miller practices in Petaluma, CA. The NPI Number for Gary Michael Miller is 1932129327 and holds a License No. PSY15695 (California).

The current practice location address for Gary Michael Miller is 523 Hayes Ln, Petaluma, CA and can be reached out via phone at 800-257-8715 and via fax at 800-819-1655.

Location: 523 Hayes Ln, Petaluma, CA, 92592-4315
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932129327
Provider Name
Gary Michael Miller
Credential
Provider Entity Type
Individual
Gender
Male
Address
523 Hayes Ln, Petaluma, CA, 92592-4315
Phone Number
800-257-8715
Fax Number
800-819-1655
Provider Enumeration Date
07/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PSY156950 01 CA RIVERSIDE COUNTY
0PL156950 01 CA BLUE CROSS BLUE SHIELD
PSY156950 05 CA
institution
Provider Business Practice Location Address Details
Address
523 Hayes Ln
City
Petaluma
State
California
Zip
94952-4011
Phone Number
800-257-8715
Fax Number
800-819-1655
person
Provider Business Mailing Address Details
Address
523 Hayes Ln
City
Petaluma
State
California
Zip
94952-4011
Phone Number
800-257-8715
Fax Number
800-819-1655
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
PSY15695 (California)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
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