Individual
CYNTHIA MILLIKAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., CCC-SLP
Contact information
Practice address
9100 S. HULEN, FORT WORTH, TX 76123-2701
(817) 263-1250
Mailing address
9621 TRAIL MAP DRIVE, CROWLEY, TX 76036
(512) 627-5408
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12769
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01018727
AMERICAN SPEECH HEARING ASSOCIATION (ASHA)
—
01
—
12769
TEXAS DEPT. OF LICENSING AND REGULATION
TX
Enumeration date
09/16/2021
Last updated
09/16/2021
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