Active NPIIndividual providerSole proprietor

Kristie L Miner

Speech-Language Pathologist, in Roswell, Georgia

NPI Number1932660685
Practice location
655 Mansell RD, Roswell, GA 30076-4868
Fax
770-882-2838
Last updated
December 21, 2020

Kristie L Miner is a Speech-Language Pathologist, based in Roswell, GA. Kristie L Miner practices in Roswell, GA. The NPI Number for Kristie L Miner is 1932660685 and holds a License No. SP1074 (ME). The current practice location address for Kristie L Miner is 655 Mansell RD, Roswell, GA 30076-4868 and can be reached out via phone at 470-740-9663 and via fax at 770-882-2838.

Provider Profile Details

NPI Number
1932660685
Provider Name
Kristie L Miner
Provider Entity Type
Individual
Gender
Female
Address
655 Mansell RD, Roswell, GA 30076-4868
Phone Number
470-740-9663
Fax Number
770-882-2838
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
March 26, 2019
Last Update Date
December 21, 2020
Certification Date
December 21, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
655 Mansell RD
Roswell, GA 30076-4868
State
Georgia
Zip
30076-4868
Phone Number
470-740-9663
Fax Number
770-882-2838
Roswell, GA 30076Get directions →

Provider Business Mailing Address Details

Address
897 W Main St
Dover Foxcroft, ME 04426-1029
City
Dover Foxcroft
State
ME
Zip
04426-1029

License Information

License Number (1)
SP1074
License State (1)
ME
Taxonomy (1)
Speech-Language Pathologist, · 235Z00000X
License Number (2)
SLP011321
License State (2)
GA
Taxonomy (2)
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kristie L Miner?

The NPI number of Kristie L Miner is 1932660685. It was assigned on March 26, 2019 and is currently active in the NPPES registry.

What is the specialty of Kristie L Miner?

Kristie L Miner is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in ME under license number SP1074.

Where does Kristie L Miner practice?

The practice location is 655 Mansell RD, Roswell, GA 30076-4868. The office can be reached at 470-740-9663 (phone) or 770-882-2838 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1932660685 directly on the NPPES registry website.

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