MEDICARE: MINI MILESTONES SPEECH AND FEEDING THERAPY, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1447107339
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MINI MILESTONES SPEECH AND FEEDING THERAPY, LLC

Provider Business Mailing Address
First Line	:	1303 DILLON RD
Second Line	:
City	:	FORT WASHINGTON
State	:	PA
Zip	:	19034-1714
Country	:	US
Telephone Number	:	610-255-7290
Fax Number	:

Provider Business Practice Location Address
First Line	:	1303 DILLON RD
Second Line	:
City	:	FORT WASHINGTON
State	:	PA
Zip	:	19034-1714
Country	:	US
Telephone Number	:	610-255-7290
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KELSEY BLACK
Credential	:
Telephone Number	:	610-256-1041

Provider Enumeration Date	:	03/11/2026
Last Update Date	:	03/11/2026

Similar Medicare Providers

1487019923 — KELSEY BLACK
Practice Location Address:

1303 DILLON RD
FORT WASHINGTON, PA
19034-1714

Practice Phone: 610-255-7290
Practice Fax:

1437664513 — GRETCHEN SKWER RD, LDN
Practice Location Address:

1309 DILLON RD
FORT WASHINGTON, PA
19034-1714

Practice Phone: 610-331-8338
Practice Fax:

1568431252 — DENNIS LYNN RANDOLPH O.D.
Practice Location Address:

1714 WASHINGTON BLVD
BELPRE, OH
45714-2096

Practice Phone: 740-423-9521
Practice Fax: 740-423-6882

1043289382 — DR. RICHARD KEITH MCFEE O.D.
Practice Location Address:

1714 WASHINGTON BLVD
BELPRE, OH
45714-2096

Practice Phone: 740-423-9521
Practice Fax: 740-423-6882

1811950066 — DR. JAMES MICHAEL MARKLEY O.D.
Practice Location Address:

1714 WASHINGTON BLVD
BELPRE, OH
45714-2096

Practice Phone: 740-423-9521
Practice Fax: 740-423-6882

1265498695 — DR. CHRIS C. CLATTERBUCK PHD
Practice Location Address:

1714 WASHINGTON BLVD STE B
BELPRE, OH
45714-2076

Practice Phone: 740-780-4010
Practice Fax: 740-780-4017

Directions to “MINI MILESTONES SPEECH AND FEEDING THERAPY, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.