Provider Demographics
NPI:1386870582
Name:MILTON, KATY (MS CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:KATY
Middle Name:
Last Name:MILTON
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15704 SAYAN CV
Mailing Address - Street 2:
Mailing Address - City:BEE CAVE
Mailing Address - State:TX
Mailing Address - Zip Code:78738-4006
Mailing Address - Country:US
Mailing Address - Phone:512-751-9118
Mailing Address - Fax:
Practice Address - Street 1:15704 SAYAN CV
Practice Address - Street 2:
Practice Address - City:BEE CAVE
Practice Address - State:TX
Practice Address - Zip Code:78738-4006
Practice Address - Country:US
Practice Address - Phone:512-751-9118
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-02
Last Update Date:2012-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX104572235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist