Individual
MS. CAROLINE ANNE MILLER-BAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
5100 MARNA LYNN AVE NW, ALBUQUERQUE, NM 87114-5701
(505) 898-0923
Mailing address
909 COUNTRY CLUB DR SE APT G, RIO RANCHO, NM 87124-2205
(414) 418-1848
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2905-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2905-154
STATE SLP LICENSE
WI
01
—
420205
PED LICENSE
NM
01
—
SLP-2023-0214
STATE SLP LICENSE
NM
01
—
SP 13539
STATE SLP LICENSE
CA
Enumeration date
11/16/2006
Last updated
09/12/2023
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