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MISS KATIE MICHELLE MILLICAN SLP NPI 1871986745


NPI Information

NPI: 1871986745
Provider Name: MISS KATIE MICHELLE MILLICAN, SLP
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Individual
Address:
3505 EAST MERIDIAN PARK LOOP, STE. 200
WASILLA, AK
ZIP 99654
Phone: (907) 232-6322
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MISS Katie Michelle Millican, SLP is a speech language pathologist in Wasilla, AK. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. MISS Katie Michelle Millican, SLP NPI is 1871986745. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3505 EAST MERIDIAN PARK LOOP, STE. 200
WASILLA, AK
ZIP 99654
Phone: (907) 232-6322

The enumeration date for this NPI number is 3/16/2015 and was last updated on 12/20/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1235Z00000XSpeech-Language Pathologist546ALASKAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11651831MEDICAIDALASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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