Milton Speech Pathology

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP008235 Issued in GA

Legal business name

MILTON SPEECH PATHOLOGY

Practice address

1004 Bombay LN
Roswell, GA 30076-5820

Phone

(404) 719-3991

NPI assigned

Dec 7, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Amy Squires

Title

Owner

Phone

(404) 719-3991

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1481068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481241600000",
    "number": "1962946152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 BOMBAY LN",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765820",
            "telephone_number": "404-719-3991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 BOMBAY LN",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765820",
            "telephone_number": "404-719-3991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILTON SPEECH PATHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-07",
        "last_updated": "2016-12-09",
        "status": "A",
        "authorized_official_last_name": "SQUIRES",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-719-3991"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP008235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003153554C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Todd D Miller, M.D.
• Adrienne Millis, LPC
• Anthony Dwayne Mills, M.D.
• Jonathan Mills
• Jennifer Erin Millsap, PHYSICIANS ASSISTANT
• Milton Speech Pathology, LLC
• Madison Allen Mims, WHNP-BC
• Julie Kay Miner, PT
• Kristie L Miner
• Muhammad Hamza Mir, MD

• Speech-Language Pathologist in Roswell, GA
• Providers in Roswell, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.