Individual
KRISTEN LYNN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.,CCC-SLP
Contact information
Practice address
38461 PIKE RIVER RD, CHASSELL, MI 49916-9470
(906) 370-1514
Mailing address
38461 PIKE RIVER RD, P.O. BOX 662, CHASSELL, MI 49916-9470
(906) 370-1514
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
09139486
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09139486
ASHA NUMBER
MI
Enumeration date
01/07/2011
Last updated
01/07/2011
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