Provider Demographics
NPI:1508304627
Name:PAULA MILTENBERGER, PH.D., PA
Entity Type:Organization
Organization Name:PAULA MILTENBERGER, PH.D., PA
Other - Org Name:WOMEN'S MENTAL WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:DIANNE
Authorized Official - Last Name:MILTENBERGER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:214-417-8094
Mailing Address - Street 1:5949 SHERRY LANE
Mailing Address - Street 2:SUITE 752
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75225
Mailing Address - Country:US
Mailing Address - Phone:214-890-9880
Mailing Address - Fax:
Practice Address - Street 1:5949 SHERRY LANE
Practice Address - Street 2:SUITE 752
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75225
Practice Address - Country:US
Practice Address - Phone:214-890-9880
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-09
Last Update Date:2017-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX33947103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty