National Provider Identifier

Mikala Miller

Mikala Miller is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Fairport, NY and a listed phone number of (585) 377-2230.

NPI 1366076499Fairport, NYSpeech-Language Pathologist

Profile Overview

NPI
1366076499
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
February 27, 2020
Last Updated
February 27, 2020

Practice Location

  • 149 N Main St
  • Fairport, NY 14450-1434

Phone: (585) 377-2230

Mailing Address

  • 140 Paddy Ln
  • Macedon, NY 14502-8952

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1366076499
Entity Type
Individual
Last Name
Miller
First Name
Mikala
Name Prefix
MS.
Mailing Street Address
140 Paddy Ln
Mailing City
Macedon
Mailing State
NY
Mailing ZIP Code
14502-8952
Mailing Country
US
Mailing Phone
(315) 576-4813
Practice Street Address
149 N Main St
Practice City
Fairport
Practice State
NY
Practice ZIP Code
14450-1434
Practice Country
US
Practice Phone
(585) 377-2230
Enumeration Date
February 27, 2020
Last Updated
February 27, 2020
Sex
Female
Sole Proprietor
No
Certification Date
February 27, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)