Provider Demographics
NPI:1053464784
Name:MILBURN, DONNA R (PHD)
Entity Type:Individual
Prefix:DR
First Name:DONNA
Middle Name:R
Last Name:MILBURN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 N CENTRAL EXPY
Mailing Address - Street 2:SUITE 110
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75074-8801
Mailing Address - Country:US
Mailing Address - Phone:972-509-2611
Mailing Address - Fax:972-578-5742
Practice Address - Street 1:2000 N CENTRAL EXPY
Practice Address - Street 2:SUITE 110
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75074-8801
Practice Address - Country:US
Practice Address - Phone:972-509-2611
Practice Address - Fax:972-578-5742
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-18
Last Update Date:2011-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX#2-4936103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical