| Doctor Name: | DR. SUZANNE MILTICH |
| NPI Number: | 1235473505 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | SP#682 |
| Business Practice Address: | 1401 Se Walton Blvd Ste 109 Bentonville, AR - 727123772 |
| Business Phone Number: | 4797156870 |
| Business Fax Number: | 4797156000 |
| Mailing Address: | 9679 E High Meadows Dr, ROGERS |
| State: | AR |
| Postal Code: | 727568916 |
| Phone Number: | 4799256275 |
| Fax Number: | 4797156000 |
| NPI Enumeration Date: | 11/26/2012 |
| NPI Last Update Date: | 11/26/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SP#682 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| 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 |