Provider Demographics
NPI:1427091172
Name:MILLER, SUZANNE M (PHD, CCC/SLP)
Entity type:Individual
Prefix:DR
First Name:SUZANNE
Middle Name:M
Last Name:MILLER
Suffix:
Gender:F
Credentials:PHD, 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:PO BOX 973
Mailing Address - Street 2:8 SCORTON MARSH RD
Mailing Address - City:E SANDWICH
Mailing Address - State:MA
Mailing Address - Zip Code:02537-0973
Mailing Address - Country:US
Mailing Address - Phone:508-833-8248
Mailing Address - Fax:508-362-4805
Practice Address - Street 1:275 MILLWAY
Practice Address - Street 2:
Practice Address - City:BARNSTABLE
Practice Address - State:MA
Practice Address - Zip Code:02630
Practice Address - Country:US
Practice Address - Phone:508-362-3314
Practice Address - Fax:508-362-4805
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2355235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MASP 0140OtherBLUE CROSS BLUE SHIELD
MA462274OtherTUFTS HEALTHCARE
MAAA43806OtherHARVARDPILGRIM HC