Doctor Name: | MS. CAROL SHAVER MILES |
NPI Number: | 1679564694 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., CCC-SLP |
License Number: | SP6324 |
Business Practice Address: | 355 Main St Quincy, CA - 959719121 |
Business Phone Number: | 5303947706 |
Business Fax Number: | |
Mailing Address: | Po Box 288, 37776 Old Highway Road QUINCY |
State: | CA |
Postal Code: | 959710288 |
Phone Number: | 5302816606 |
Fax Number: | |
NPI Enumeration Date: | 10/31/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP6324 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |