| Doctor Name: | NANCY R. MILAM |
| NPI Number: | 1063587608 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D. |
| License Number: | 5617 |
| Business Practice Address: | 1250 W Dorothy Ln Ste 208 Kettering, OH - 454091313 |
| Business Phone Number: | 9372989241 |
| Business Fax Number: | |
| Mailing Address: | 1204 Rona Parkway Dr, FAIRBORN |
| State: | OH |
| Postal Code: | 453245739 |
| Phone Number: | 9378780612 |
| Fax Number: | |
| NPI Enumeration Date: | 11/21/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 5617 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |