Doctor Name: | MS. JENNIFER WELCH MILLS |
NPI Number: | 1659598811 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, CCC-SLP |
License Number: | |
Business Practice Address: | 1572 Maple Ave Unit 504 Evanston, IL - 602014328 |
Business Phone Number: | 8474919249 |
Business Fax Number: | |
Mailing Address: | 1572 Maple Ave, Unit 504 EVANSTON |
State: | IL |
Postal Code: | 602014328 |
Phone Number: | 8474919249 |
Fax Number: | |
NPI Enumeration Date: | 04/19/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
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 |