Provider Demographics
NPI:1831156173
Name:MILBURN, ALISON K (PHD)
Entity type:Individual
Prefix:DR
First Name:ALISON
Middle Name:K
Last Name:MILBURN
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 1:325 E WASHINGTON ST
Mailing Address - Street 2:STE 301
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52240
Mailing Address - Country:US
Mailing Address - Phone:319-358-9397
Mailing Address - Fax:319-358-8235
Practice Address - Street 1:325 E WASHINGTON ST
Practice Address - Street 2:STE 301
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52240
Practice Address - Country:US
Practice Address - Phone:319-358-9397
Practice Address - Fax:319-358-8235
Is Sole Proprietor?:No
Enumeration Date:2006-04-28
Last Update Date:2010-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA00756103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA54266OtherWELLMARK
IA54266Medicare ID - Type Unspecified