Provider Demographics
NPI:1154527448
Name:MILLS, YVONNE LATETIA (PHD)
Entity type:Individual
Prefix:DR
First Name:YVONNE
Middle Name:LATETIA
Last Name:MILLS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 TIVOLI LAKE CT
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20906-5904
Mailing Address - Country:US
Mailing Address - Phone:301-942-8517
Mailing Address - Fax:301-942-1380
Practice Address - Street 1:11 TIVOLI LAKE CT
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20906-5904
Practice Address - Country:US
Practice Address - Phone:301-942-8517
Practice Address - Fax:301-942-1380
Is Sole Proprietor?:No
Enumeration Date:2007-06-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD02359235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist