Provider Demographics
NPI:1710220942
Name:MILANO, VIRGINIA (PSYD)
Entity Type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:
Last Name:MILANO
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 MAIN ST
Mailing Address - Street 2:SUITE 8A
Mailing Address - City:FRANKLIN
Mailing Address - State:MA
Mailing Address - Zip Code:02038-1946
Mailing Address - Country:US
Mailing Address - Phone:508-918-7579
Mailing Address - Fax:508-918-7579
Practice Address - Street 1:13 MAIN ST
Practice Address - Street 2:SUITE 8A
Practice Address - City:FRANKLIN
Practice Address - State:MA
Practice Address - Zip Code:02038-1946
Practice Address - Country:US
Practice Address - Phone:508-918-7579
Practice Address - Fax:508-918-7579
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-06
Last Update Date:2013-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8410103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent