Doctor Name: | MRS. KELLY A. MIGLIN |
NPI Number: | 1780016659 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLPA |
License Number: | SLPA8248 |
Business Practice Address: | 30 E Highway 260 Camp Verde, AZ - 863226850 |
Business Phone Number: | 4807033281 |
Business Fax Number: | |
Mailing Address: | Po Box 2322, CAMP VERDE |
State: | AZ |
Postal Code: | 863222322 |
Phone Number: | 4807033281 |
Fax Number: | |
NPI Enumeration Date: | 08/02/2013 |
NPI Last Update Date: | 12/03/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2355S0801X |
License Number: | SLPA8248 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Specialist/Technologist |
Taxonomy Specialization: | Speech-Language Assistant |
Taxonomy Definition: |