Provider Demographics
NPI:1164547816
Name:MILLIKEN, SHERYL (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:SHERYL
Middle Name:
Last Name:MILLIKEN
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:SHERYL
Other - Middle Name:HELEN
Other - Last Name:PARKINSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS CCC-SLP
Mailing Address - Street 1:978 SAWYER RD
Mailing Address - Street 2:
Mailing Address - City:GREENE
Mailing Address - State:ME
Mailing Address - Zip Code:04236-3028
Mailing Address - Country:US
Mailing Address - Phone:207-756-4945
Mailing Address - Fax:
Practice Address - Street 1:978 SAWYER RD
Practice Address - Street 2:
Practice Address - City:GREENE
Practice Address - State:ME
Practice Address - Zip Code:04236-3028
Practice Address - Country:US
Practice Address - Phone:207-756-4945
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2018-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MESP1648235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist