| Doctor Name: | DR. JOHN S MILLER |
| NPI Number: | 1003819566 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | PSY14926 |
| Business Practice Address: | 2055 Anderson Rd Davis, CA - 956160672 |
| Business Phone Number: | 5307581580 |
| Business Fax Number: | 5307589869 |
| Mailing Address: | Po Box 483, DAVIS |
| State: | CA |
| Postal Code: | 956170483 |
| Phone Number: | 5307581580 |
| Fax Number: | 5307589869 |
| NPI Enumeration Date: | 05/27/2005 |
| NPI Last Update Date: | 05/04/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TF0200X |
| License Number: | PSY14926 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Forensic |
| Taxonomy Definition: | |