Provider Demographics
NPI:1568216398
Name:JOACHIM-MILOSAVLJEVIC, FLORA S (EDD)
Entity Type:Individual
Prefix:DR
First Name:FLORA
Middle Name:S
Last Name:JOACHIM-MILOSAVLJEVIC
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:738 MICHAEL CT
Mailing Address - Street 2:
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92374-6419
Mailing Address - Country:US
Mailing Address - Phone:909-684-2203
Mailing Address - Fax:
Practice Address - Street 1:738 MICHAEL CT
Practice Address - Street 2:
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92374-6419
Practice Address - Country:US
Practice Address - Phone:909-684-2203
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-17
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA200183258101YS0200X
CA230192366103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool