Individual
BETH MCKENZIE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
1027 E 176TH ST, CLEVELAND, OH 44119-3109
(216) 531-8204
Mailing address
33350 JACKSON RD, CHAGRIN FALLS, OH 44022-1830
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
7101003428
MI
235Z00000X
Speech-Language Pathologist
Primary
SP.12785
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12074483
AMERICAN SPEECH-LANGUAGE HEARING ASSOCIATION
—
01
—
7101003428
MICHIGAN BOARD OF SPEECH-LANGUAGE PATHOLOGY
MI
01
—
SP.12785
OHIO BOARD OF SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY
OH
Enumeration date
01/31/2018
Last updated
03/17/2018
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