Doctor Name: | JENNIFER MILLS |
NPI Number: | 1457609596 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SP#P8557 |
Business Practice Address: | 3205 Jenny Lind Rd Fort Smith, AR - 729017101 |
Business Phone Number: | 4797852501 |
Business Fax Number: | 4797096092 |
Mailing Address: | 3205 Jenny Lind Rd, FORT SMITH |
State: | AR |
Postal Code: | 729017101 |
Phone Number: | 4797852501 |
Fax Number: | 4797096092 |
NPI Enumeration Date: | 08/21/2012 |
NPI Last Update Date: | 08/21/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP#P8557 |
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 |