MEDICARE: JOANN C MILANI, PH.D. P.C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1326245440
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOANN C MILANI, PH.D. P.C

Provider Business Mailing Address
First Line	:	1503 BRADY ST
Second Line	:
City	:	DAVENPORT
State	:	IA
Zip	:	52803-4622
Country	:	US
Telephone Number	:	563-324-1990
Fax Number	:	563-323-7452

Provider Business Practice Location Address
First Line	:	1503 BRADY STREET
Second Line	:
City	:	DAVENPORT
State	:	IA
Zip	:	52803-0000
Country	:	US
Telephone Number	:	563-324-1990
Fax Number	:	563-323-7452

Authorized Official
Title or Position	:	CLINICAL PSYCHOLOIST
Name	:	DR. JOANN C MILANI
Credential	:	PH.D.
Telephone Number	:	563-324-1990

Provider Enumeration Date	:	07/02/2007
Last Update Date	:	07/13/2007

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