Provider Demographics
NPI:1326120254
Name:MILLS, RICKI C (AUD, CCC-A)
Entity Type:Individual
Prefix:MS
First Name:RICKI
Middle Name:C
Last Name:MILLS
Suffix:
Gender:F
Credentials:AUD, CCC-A
Other - Prefix:DR
Other - First Name:RICKI
Other - Middle Name:C
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD, CCC-A
Mailing Address - Street 1:3200 VINE ST
Mailing Address - Street 2:AUDIOLOGY (126)
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45220-2213
Mailing Address - Country:US
Mailing Address - Phone:513-861-3100
Mailing Address - Fax:513-487-6657
Practice Address - Street 1:3200 VINE ST
Practice Address - Street 2:AUDIOLOGY (126)
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45220-2213
Practice Address - Country:US
Practice Address - Phone:513-861-3100
Practice Address - Fax:513-487-6657
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA.00886231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist