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Individual

CAITLIN MARY MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, CCC-SLP

Contact information

Practice address
11 WILDWOOD MEDICAL CTR, ESSEX, CT 06426-1206
(860) 245-8897
(860) 200-0482
Mailing address
11 WILDWOOD MEDICAL CTR, ESSEX, CT 06426-1206
(860) 245-8897
(860) 200-0482

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
18.005698
CT
235Z00000X
Speech-Language Pathologist
SLP77656
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14147989
ASHA
Enumeration date
08/10/2018
Last updated
09/10/2024
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