Individual
MEREDITH RAE MCMILLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
529 WESTPORT RD, ELIZABETHTOWN, KY 42701-2949
(270) 763-8125
Mailing address
226 HELM ST, ELIZABETHTOWN, KY 42701-1512
(270) 505-9155
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
164312
KY
Other
Enumeration date
11/01/2016
Last updated
11/01/2016
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