Provider Demographics
NPI:1992582027
Name:MILKOVITS, LISSETH ZULEYKA (MS, CF-SLP)
Entity type:Individual
Prefix:MRS
First Name:LISSETH
Middle Name:ZULEYKA
Last Name:MILKOVITS
Suffix:
Gender:F
Credentials:MS, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 MARY E CLARK DR
Mailing Address - Street 2:
Mailing Address - City:HAMPSTEAD
Mailing Address - State:NH
Mailing Address - Zip Code:03841-2288
Mailing Address - Country:US
Mailing Address - Phone:603-275-2317
Mailing Address - Fax:
Practice Address - Street 1:23 STAGECOACH DR
Practice Address - Street 2:
Practice Address - City:SANDOWN
Practice Address - State:NH
Practice Address - Zip Code:03873-2123
Practice Address - Country:US
Practice Address - Phone:603-887-8503
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-12
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHP-0969235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist