Provider Demographics
NPI:1316019631
Name:MILLER, CATHERINE ANN (AUD)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:ANN
Last Name:MILLER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:DR
Other - First Name:CATHERINE
Other - Middle Name:MURPHY
Other - Last Name:GOLDSMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:3211 GRANT LINE RD STE 1
Mailing Address - Street 2:
Mailing Address - City:NEW ALBANY
Mailing Address - State:IN
Mailing Address - Zip Code:47150-0003
Mailing Address - Country:US
Mailing Address - Phone:812-949-3272
Mailing Address - Fax:812-949-3271
Practice Address - Street 1:3211 GRANT LINE RD STE 1
Practice Address - Street 2:
Practice Address - City:NEW ALBANY
Practice Address - State:IN
Practice Address - Zip Code:47150-0003
Practice Address - Country:US
Practice Address - Phone:812-949-3272
Practice Address - Fax:812-949-3271
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN23002146A237600000X, 231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200184260Medicaid
201400Medicare ID - Type UnspecifiedPROVIDER NUMBER