Provider Demographics
NPI:1972616464
Name:MILLIAN, LENORE (PHD)
Entity Type:Individual
Prefix:DR
First Name:LENORE
Middle Name:
Last Name:MILLIAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 FLINT RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06811-3116
Mailing Address - Country:US
Mailing Address - Phone:203-792-7006
Mailing Address - Fax:
Practice Address - Street 1:200 TICE BLVD
Practice Address - Street 2:
Practice Address - City:WOODCLIFF LAKE
Practice Address - State:NJ
Practice Address - Zip Code:07677-8410
Practice Address - Country:US
Practice Address - Phone:201-934-7788
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ01998103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist