Provider Demographics
NPI:1467718999
Name:MILLER, KARLA G (MS CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:KARLA
Middle Name:G
Last Name:MILLER
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 ROWLEY HILL RD
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:MA
Mailing Address - Zip Code:01564-2119
Mailing Address - Country:US
Mailing Address - Phone:978-422-6014
Mailing Address - Fax:978-422-3533
Practice Address - Street 1:123 ROWLEY HILL RD
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:MA
Practice Address - Zip Code:01564-2119
Practice Address - Country:US
Practice Address - Phone:978-422-6014
Practice Address - Fax:978-422-3533
Is Sole Proprietor?:No
Enumeration Date:2012-04-10
Last Update Date:2012-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5297235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist