Provider Demographics
NPI:1043562739
Name:MILLS, MARGARET AMANDA (MA-SLP)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:AMANDA
Last Name:MILLS
Suffix:
Gender:F
Credentials:MA-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1616 WINTHROP RD
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48302-0685
Mailing Address - Country:US
Mailing Address - Phone:248-321-4739
Mailing Address - Fax:
Practice Address - Street 1:1616 WINTHROP RD
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48302-0685
Practice Address - Country:US
Practice Address - Phone:248-321-4739
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-05
Last Update Date:2012-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist