Doctor Name: | MRS. JILLIAN FAY MILLER |
NPI Number: | 1902274111 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | SP-9455-SL |
Business Practice Address: | 115 Ripley Road Suite #3 Cohasset, MA - 02025 |
Business Phone Number: | 7813833498 |
Business Fax Number: | |
Mailing Address: | 41 Cornet Stetson Rd, HANOVER |
State: | MA |
Postal Code: | 023392662 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/03/2015 |
NPI Last Update Date: | 09/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP-9455-SL |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
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 |