Provider Demographics
NPI:1659155752
Name:BILLINGS, MIA KAYE (MS, CF-SLP)
Entity Type:Individual
Prefix:MS
First Name:MIA
Middle Name:KAYE
Last Name:BILLINGS
Suffix:
Gender:F
Credentials:MS, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 DOSS RD
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:MO
Mailing Address - Zip Code:65560-9656
Mailing Address - Country:US
Mailing Address - Phone:573-729-4812
Mailing Address - Fax:
Practice Address - Street 1:1601 DOSS RD
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:MO
Practice Address - Zip Code:65560-9656
Practice Address - Country:US
Practice Address - Phone:573-729-4812
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-21
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2023032656235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist