Provider Demographics
NPI:1275546491
Name:MILLS, SYLVIA V (PHD)
Entity Type:Individual
Prefix:DR
First Name:SYLVIA
Middle Name:V
Last Name:MILLS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:870 MARKET STREET,
Mailing Address - Street 2:SUITE 1220
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94102
Mailing Address - Country:US
Mailing Address - Phone:415-421-3030
Mailing Address - Fax:415-421-3030
Practice Address - Street 1:870 MARKET STREET,
Practice Address - Street 2:SUITE 1220
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102
Practice Address - Country:US
Practice Address - Phone:415-421-3030
Practice Address - Fax:415-421-3030
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-15
Last Update Date:2007-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 13250103TC0700X, 103TC1900X, 103T00000X
CAPSY13250103TF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily