Mikala Miller
Speech-Language Pathologist, in Fairport, NY. Individual provider (NPI-1).
NPI number1366076499
StatusActive
Last updated in NPPESFeb 27, 2020
Details
- NPI
- 1366076499
- Entity type
- Individual (NPI-1)
- Name
- Ms. Mikala Miller
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 27, 2020
- Certification date
- Feb 27, 2020
- Last updated
- Feb 27, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 104598-01 | NY | Yes |
Practice location
149 N Main StFairport, NY 14450-1434
Phone 585-377-2230
Mailing address
140 Paddy LnMacedon, NY 14502-8952
Phone 315-576-4813
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All 183 Speech-Language Pathologist providers in Fairport · All 1,162 providers in Fairport
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