Provider Demographics
NPI:1326245440
Name:JOANN C MILANI, PH.D. P.C
Entity Type:Organization
Organization Name:JOANN C MILANI, PH.D. P.C
Other - Org Name:JOANN C MIIANI, PH.D.
Other - Org Type:Other Name
Authorized Official - Title/Position:CLINICAL PSYCHOLOIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOANN
Authorized Official - Middle Name:C
Authorized Official - Last Name:MILANI
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:563-324-1990
Mailing Address - Street 1:1503 BRADY ST
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:IA
Mailing Address - Zip Code:52803-4622
Mailing Address - Country:US
Mailing Address - Phone:563-324-1990
Mailing Address - Fax:563-323-7452
Practice Address - Street 1:1503 BRADY STREET
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:IA
Practice Address - Zip Code:52803-0000
Practice Address - Country:US
Practice Address - Phone:563-324-1990
Practice Address - Fax:563-323-7452
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-02
Last Update Date:2007-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health