Provider Demographics
NPI:1750541223
Name:MILNER, MARNEE WYN (JD, PHD)
Entity type:Individual
Prefix:DR
First Name:MARNEE
Middle Name:WYN
Last Name:MILNER
Suffix:
Gender:F
Credentials:JD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 1ST AVE S
Mailing Address - Street 2:SUITE 333
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-3441
Mailing Address - Country:US
Mailing Address - Phone:206-548-4709
Mailing Address - Fax:206-548-4710
Practice Address - Street 1:216 1ST AVE S
Practice Address - Street 2:SUITE 333
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-3441
Practice Address - Country:US
Practice Address - Phone:206-548-4709
Practice Address - Fax:206-548-4710
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-09
Last Update Date:2008-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY00003746103G00000X, 103TC0700X, 103TF0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic