Provider Demographics
NPI:1144216219
Name:MILNER, CAROL S (PHD)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:S
Last Name:MILNER
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 1:6 STEPTOE CIR
Mailing Address - Street 2:
Mailing Address - City:ELY
Mailing Address - State:NV
Mailing Address - Zip Code:89301-2500
Mailing Address - Country:US
Mailing Address - Phone:775-289-2424
Mailing Address - Fax:775-289-6423
Practice Address - Street 1:6 STEPTOE CIR
Practice Address - Street 2:
Practice Address - City:ELY
Practice Address - State:NV
Practice Address - Zip Code:89301-2500
Practice Address - Country:US
Practice Address - Phone:775-289-2424
Practice Address - Fax:775-289-6423
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVPYT050413103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVPYT050413OtherTEMP LICENSE