Kristen Lynn Miller, M.A.,CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Chassell, MI
NPI 1346544137 · NPPES record last updated Jan 7, 2011
Key facts
- NPI
- 1346544137
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 09139486 (MI)
- Practice address
- 38461 Pike River Rd
Chassell, MI 49916-9470 - Phone
- (906) 370-1514
- NPI assigned
- Jan 7, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09139486 | MI | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 09139486 | MI | Yes |
Addresses
Primary practice location
38461 Pike River Rd
Chassell, MI 49916-9470
Mailing address
38461 Pike River Rd
P.O. Box 662
Chassell, MI 49916-9470
Phone (906) 370-1514
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09139486 | Other | MI | ASHA NUMBER |
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All providers in Chassell, MI · Speech-Language Pathologist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.