Individual
KATHERINE HICKS MILLIKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
908 FLAT STONE DR, FUQUAY VARINA, NC 27526-7579
(270) 535-8410
Mailing address
908 FLAT STONE DR, FUQUAY VARINA, NC 27526-7579
(270) 535-8410
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
113110
TX
235Z00000X
Speech-Language Pathologist
Primary
15067
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113110
TEXAS DEPARTMENT OF LICENSING AND REGULATION
TX
01
—
14288751
AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION (ASHA)
—
01
—
15067
NORTH CAROLINA BOARD OF EXAMINERS FOR SPEECH-LANGUAGE PATHOLOGISTS & AUDIOLOGIST
NC
Enumeration date
09/18/2018
Last updated
10/15/2021
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