Doctor Name: | EMILY ELYSE MILLER |
NPI Number: | 1104212596 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A.CCC SLP |
License Number: | SP 7982 |
Business Practice Address: | 4121 King Road Maumee, OH - 43560 |
Business Phone Number: | 4195178200 |
Business Fax Number: | 4195178209 |
Mailing Address: | 4121 King Road, Kingston Care Center Of Sylvania MAUMEE |
State: | OH |
Postal Code: | 43560 |
Phone Number: | 4195178200 |
Fax Number: | 4195178209 |
NPI Enumeration Date: | 04/13/2015 |
NPI Last Update Date: | 04/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP 7982 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |