Provider Demographics
NPI:1134543648
Name:MILLHAM, ALLISON LEIGH (MA, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:ALLISON
Middle Name:LEIGH
Last Name:MILLHAM
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6075 MANCHESTER RD
Mailing Address - Street 2:
Mailing Address - City:NEW FRANKLIN
Mailing Address - State:OH
Mailing Address - Zip Code:44319-4654
Mailing Address - Country:US
Mailing Address - Phone:330-882-4133
Mailing Address - Fax:
Practice Address - Street 1:6075 MANCHESTER RD
Practice Address - Street 2:
Practice Address - City:NEW FRANKLIN
Practice Address - State:OH
Practice Address - Zip Code:44319-4654
Practice Address - Country:US
Practice Address - Phone:330-882-4133
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-05
Last Update Date:2014-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP8280235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist