Provider Demographics
NPI:1821056557
Name:ANDREW MILLAR PHD AND TERI WHITE PHD DBA PSYCHOLOGY CENTER OF SANTA MA
Entity Type:Organization
Organization Name:ANDREW MILLAR PHD AND TERI WHITE PHD DBA PSYCHOLOGY CENTER OF SANTA MA
Other - Org Name:PSYCHOLOGY CENTER OF SANTA MARIA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TERI
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:805-934-8421
Mailing Address - Street 1:5075 S BRADLEY RD
Mailing Address - Street 2:SUITE 125
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93455-5077
Mailing Address - Country:US
Mailing Address - Phone:805-934-8421
Mailing Address - Fax:805-934-7106
Practice Address - Street 1:5075 S BRADLEY RD
Practice Address - Street 2:SUITE 125
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93455-5077
Practice Address - Country:US
Practice Address - Phone:805-934-8421
Practice Address - Fax:805-934-7106
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Not Answered103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)Group - Single Specialty
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Not Answered103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensicGroup - Single Specialty