Provider Demographics
NPI:1043238314
Name:MILLER, ROBERT CHRISTOPHER (PHD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:CHRISTOPHER
Last Name:MILLER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:329 S SAN ANTONIO RD
Mailing Address - Street 2:SUITE 9
Mailing Address - City:LOS ALTOS
Mailing Address - State:CA
Mailing Address - Zip Code:94022-3682
Mailing Address - Country:US
Mailing Address - Phone:650-949-1189
Mailing Address - Fax:
Practice Address - Street 1:329 S SAN ANTONIO RD
Practice Address - Street 2:SUITE 9
Practice Address - City:LOS ALTOS
Practice Address - State:CA
Practice Address - Zip Code:94022-3682
Practice Address - Country:US
Practice Address - Phone:650-949-1189
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY9298103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00PL92980Medicare ID - Type Unspecified
CAR26392Medicare UPIN