Individual
BLAIRE MCMILLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CF-SLP
Contact information
Practice address
1679 MCMILLAN RD, OSYKA, MS 39657-8197
(985) 517-1398
Mailing address
1679 MCMILLAN RD, OSYKA, MS 39657-8197
(985) 517-1398
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7246
LA
Other
Enumeration date
10/09/2014
Last updated
10/01/2016
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