Individual
DR. FRED MILLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
333 W 57TH ST, STE 103, NEW YORK, NY 10019-3159
(212) 541-8869
(718) 224-9786
Mailing address
333 W 57TH ST, STE 103, NEW YORK, NY 10019-3159
(212) 541-8869
(718) 224-9786
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
0107821
NY
Other
Enumeration date
08/19/2006
Last updated
07/09/2007
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