Healthcare Provider Details

I. General information

NPI: 1144490731
Provider Name (Legal Business Name): GARY STEVEN AUMILLER PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/10/2008
Last Update Date: 01/27/2026
Certification Date: 01/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27 ROWLAND WAY
GEORGETOWN DE
19947-3812
US

IV. Provider business mailing address

27 ROWLAND WAY
GEORGETOWN DE
19947-3812
US

V. Phone/Fax

Practice location:
  • Phone: 631-624-4916
  • Fax: 631-731-2310
Mailing address:
  • Phone: 631-624-4916
  • Fax: 631-731-2310

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TF0200X
TaxonomyForensic Psychologist
License Number8771-1
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number8117-1
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberB1-0011453
License Number StateDE
# 4
Primary TaxonomyN
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License NumberB1-0011453
License Number StateDE
# 5
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License NumberB1-0011453
License Number StateDE
# 6
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberB1-0011453
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: