Provider Demographics
NPI:1982444667
Name:MILTON, MINDY ELIZABETH
Entity type:Individual
Prefix:
First Name:MINDY
Middle Name:ELIZABETH
Last Name:MILTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:212 DOWNEY RD
Mailing Address - Street 2:
Mailing Address - City:MILLERTON
Mailing Address - State:NY
Mailing Address - Zip Code:12546-4545
Mailing Address - Country:US
Mailing Address - Phone:518-524-1284
Mailing Address - Fax:
Practice Address - Street 1:212 DOWNEY RD
Practice Address - Street 2:
Practice Address - City:MILLERTON
Practice Address - State:NY
Practice Address - Zip Code:12546-4545
Practice Address - Country:US
Practice Address - Phone:518-524-1284
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-29
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical