Individual
DR. RICHARD J. MILAN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3635 MANASSAS DR, ROANOKE, VA 24018-4031
(540) 774-4686
(540) 989-8893
Mailing address
3635 MANASSAS DR, ROANOKE, VA 24018-4031
(540) 774-4686
(540) 989-8893
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810001684
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007751320
—
VA
Enumeration date
09/02/2006
Last updated
07/08/2007
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