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MRS. DANEEN A MILAM PH.D.

Clinical Neuropsychologist

San Antonio, Texas

Provider NPI: 1558304543

Provider Information:
MRS. DANEEN A MILAM PH.D.
Gender: F
Not Sole Proprietor

Practice Location:
147 WEST SUNSET ROAD SUITE 101 SAN ANTONIO, TX 78209 US
Tel: 210-824-3391  Fax: 210-828-2873

Business Mailing Address:
147 WEST SUNSET ROAD SUITE 101 SAN ANTONIO, TX 78209 US
Tel: 210-824-3391  Fax: 210-828-2873

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103T00000XBehavioral Health & Social Service Providers
Psychologist
TX22661
N103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
TX2-2661
N103TA0400XBehavioral Health & Social Service Providers
Psychologist
TX2-2661
N103TA0700XBehavioral Health & Social Service Providers
Psychologist
TX2-2661
N103TC2200XBehavioral Health & Social Service Providers
Psychologist
TX2-2661
N103TF0200XBehavioral Health & Social Service Providers
Psychologist
TX2-2661

Other Provider Identifiers:

IssuerNumberStateType
033612501TX05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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