Individual
NANCY R. MILAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1250 W DOROTHY LN STE 208, KETTERING, OH 45409-1313
(937) 298-9241
Mailing address
1204 RONA PARKWAY DR, FAIRBORN, OH 45324-5739
(937) 878-0612
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5617
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0701842
—
OH
Enumeration date
11/21/2006
Last updated
07/09/2007
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