Provider Demographics
NPI:1710108501
Name:WENDI H. MCMILLAN
Entity Type:Organization
Organization Name:WENDI H. MCMILLAN
Other - Org Name:MCMILLAN COMMUNICATIVE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER, SPEECH PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:WENDI
Authorized Official - Middle Name:H
Authorized Official - Last Name:MCMILLAN
Authorized Official - Suffix:
Authorized Official - Credentials:MED, CCC-SLP
Authorized Official - Phone:336-259-5668
Mailing Address - Street 1:3001 PINNACLE CT
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27265-9505
Mailing Address - Country:US
Mailing Address - Phone:336-259-5668
Mailing Address - Fax:336-812-3101
Practice Address - Street 1:3001 PINNACLE CT
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27265-9505
Practice Address - Country:US
Practice Address - Phone:336-259-5668
Practice Address - Fax:336-812-3101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2781235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty