Provider Demographics
NPI:1922641190
Name:MILNER, DAVID ISIDOR (PHD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ISIDOR
Last Name:MILNER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2291 CLERMONT ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80207-3739
Mailing Address - Country:US
Mailing Address - Phone:303-619-0855
Mailing Address - Fax:
Practice Address - Street 1:425 S CHERRY ST STE 570
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80246-1218
Practice Address - Country:US
Practice Address - Phone:303-619-0855
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-21
Last Update Date:2019-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO679103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist