Doctor Name: | MS. M KATHERINE MILLER |
NPI Number: | 1568809424 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 01376 |
Business Practice Address: | 11900 Jessica Ln Raytown, MO - 641382649 |
Business Phone Number: | 8167430085 |
Business Fax Number: | |
Mailing Address: | 621 E 66th Ter, KANSAS CITY |
State: | MO |
Postal Code: | 641311157 |
Phone Number: | 8163335670 |
Fax Number: | |
NPI Enumeration Date: | 05/31/2013 |
NPI Last Update Date: | 05/31/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 01376 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
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 |