Miller, Mary

Miller, Mary is an individual health care provider with primary practice located at 16038 Doctors Blvd , Hammond LA 70403-1478. She recently has 4 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Assistive Technology Practitioner, Speech, Language and Hearing Service Providers / Assistive Technology Supplier, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Miller, Mary can be contacted via phone (985) 419-8080.

Contact Information

Primary practice address
16038 Doctors Blvd Hammond LA 70403-1478
Phone: (985) 419-8080
Fax: (985) 542-0282
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 5622 Louisiana
Speech, Language and Hearing Service Providers / Assistive Technology Practitioner 231HA2400X 5622 Louisiana
Speech, Language and Hearing Service Providers / Assistive Technology Supplier 231HA2500X 5622 Louisiana
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 5622 Louisiana

Profile Details

NPI number 1871528596
LBN Legal business name Miller, Mary
Credentials PHD, CCC-A
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Oct 22nd, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871528596 NPPES
Louisiana MEDICAID 1169471

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