Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | PSY 19932 | CA |
Y | 103T00000X | Psychologist | PSY 19932 | CA |
N | 103G00000X | Clinical Psychologist | PSY 19932 | CA |
N | 103TC0700X | Clinical Psychologist | PSY 19932 | CA |
NPI | 1003043910 |
---|---|
Provider Name | Dr. Sophie P. Giles |
First Address | Los Gatos, CA 95032-1442 |
Second Address | Los Gatos, CA 95032-1444 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2009 |
Last Update Date | 18/06/2009 |