Individual
MR. JEANNE KAY MCMILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
1613 W RIVERSIDE AVE, MUNCIE, IN 47306-0001
(765) 285-4422
(765) 285-5623
Mailing address
7270 E 300 N, PORTLAND, IN 47371-8652
(765) 285-8176
(765) 285-5623
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22001571
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35-6000221
—
IN
Enumeration date
06/16/2006
Last updated
05/29/2024
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