Individual
MRS. DANEEN A MILAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
147 WEST SUNSET ROAD, SUITE 101, SAN ANTONIO, TX 78209
(210) 824-3391
(210) 828-2873
Mailing address
147 WEST SUNSET ROAD, SUITE 101, SAN ANTONIO, TX 78209
(210) 824-3391
(210) 828-2873
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
2-2661
TX
103T00000X
Psychologist
Primary
22661
TX
103TA0400X
Addiction (Substance Use Disorder) Psychologist
2-2661
TX
103TA0700X
Adult Development & Aging Psychologist
2-2661
TX
103TC2200X
Clinical Child & Adolescent Psychologist
2-2661
TX
103TF0200X
Forensic Psychologist
2-2661
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
033612501
—
TX
Enumeration date
06/14/2006
Last updated
05/22/2012
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