Individual
KATHLEEN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
75 SOUTH ST STE 2, GORHAM, ME 04038-1737
(207) 222-1012
Mailing address
75 SOUTH ST STE 2, GORHAM, ME 04038-1737
(207) 222-1012
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1651
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018316
ANTHEM BLUE CROSS AND BLU
ME
05
—
431938399
—
ME
Enumeration date
08/30/2006
Last updated
10/17/2024
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