Provider Demographics
NPI:1629483078
Name:GIL MILBURN-WESTFALL, PSY.D.
Entity Type:Organization
Organization Name:GIL MILBURN-WESTFALL, PSY.D.
Other - Org Name:NONE
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:GILBERT
Authorized Official - Middle Name:DEVEREAUX
Authorized Official - Last Name:MILBURN-WESTFALL
Authorized Official - Suffix:
Authorized Official - Credentials:PSY D
Authorized Official - Phone:303-347-9852
Mailing Address - Street 1:609 W LITTLETON BLVD STE 305
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-2352
Mailing Address - Country:US
Mailing Address - Phone:303-347-9852
Mailing Address - Fax:303-347-9852
Practice Address - Street 1:609 W LITTLETON BLVD STE 305
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-2352
Practice Address - Country:US
Practice Address - Phone:303-347-9852
Practice Address - Fax:303-347-9852
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-24
Last Update Date:2014-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1581261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health