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Individual

DR. JUDITH ANNETTE MILBURN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
840 PAVILION PL, ASHLAND, OR 97520-9130
(714) 330-1245
(855) 485-3130
Mailing address
840 PAVILION PL, ASHLAND, OR 97520-9130
(714) 330-1245
(855) 485-3130

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY5649
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CP5649
PTAN
CA
01
R179612
PTAN
OR
Enumeration date
06/16/2005
Last updated
07/07/2022
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