Provider Demographics
NPI:1558538553
Name:MILLER, BARBARA FRITZ (MS CCC/SLP NYS LIC)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:FRITZ
Last Name:MILLER
Suffix:
Gender:F
Credentials:MS CCC/SLP NYS LIC
Other - Prefix:MISS
Other - First Name:BARBARA
Other - Middle Name:ANN
Other - Last Name:FRITZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS CCC/SLP NYS LIC,
Mailing Address - Street 1:12 SHERWOOD CT
Mailing Address - Street 2:
Mailing Address - City:WEST SENECA
Mailing Address - State:NY
Mailing Address - Zip Code:14224-3108
Mailing Address - Country:US
Mailing Address - Phone:716-674-5154
Mailing Address - Fax:
Practice Address - Street 1:12 SHERWOOD CT
Practice Address - Street 2:
Practice Address - City:WEST SENECA
Practice Address - State:NY
Practice Address - Zip Code:14224-3108
Practice Address - Country:US
Practice Address - Phone:716-674-5154
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-09
Last Update Date:2008-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3373235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist