Provider Demographics
NPI:1790020121
Name:MILLIGAN, WENDY CATHERINE
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:CATHERINE
Last Name:MILLIGAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:WENDT
Other - Middle Name:CATHERINE
Other - Last Name:SAXTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:30649 EMERY RD
Mailing Address - Street 2:
Mailing Address - City:CHAGRIN FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44022-1759
Mailing Address - Country:US
Mailing Address - Phone:216-288-2258
Mailing Address - Fax:
Practice Address - Street 1:30649 EMERY RD
Practice Address - Street 2:
Practice Address - City:CHAGRIN FALLS
Practice Address - State:OH
Practice Address - Zip Code:44022-1759
Practice Address - Country:US
Practice Address - Phone:216-288-2258
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-12
Last Update Date:2012-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP 5568235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist