Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC2200X | Clinical Child & Adolescent Psychologist | PY 60262779 | WA |
N | 103TM1800X | Intellectual & Developmental Disabilities | PY 60262779 | WA |
NPI | 1043555626 |
---|---|
Provider Name | Dr. Erin Christine Milhem |
First Address | Seattle, WA 98102-3165 |
Second Address | Woodinville, WA 98072-4459 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/12/2012 |
Last Update Date | 07/12/2012 |