Doctor Name: | MISS JENNIFER PATRICIA MCMILLEN |
NPI Number: | 1477987147 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | 023194 |
Business Practice Address: | 9579 Vocational Dr Painted Post, NY - 148709043 |
Business Phone Number: | 6077393581 |
Business Fax Number: | |
Mailing Address: | 494 Pine Circle Ext, HORSEHEADS |
State: | NY |
Postal Code: | 148451307 |
Phone Number: | 6078575361 |
Fax Number: | |
NPI Enumeration Date: | 08/29/2013 |
NPI Last Update Date: | 08/20/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 023194 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
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 |