Healthcare Provider Details

I. General information

NPI: 1063718500
Provider Name (Legal Business Name): ROSEMARY FRANCES MILLER M.S.,CCC/SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/01/2011
Last Update Date: 02/01/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4586 ACUSHNET AVE
NEW BEDFORD MA
02745-4715
US

IV. Provider business mailing address

150 SATUCKET TRL
BRIDGEWATER MA
02324-1968
US

V. Phone/Fax

Practice location:
  • Phone: 508-998-1188
  • Fax:
Mailing address:
  • Phone: 508-807-0445
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number3056
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: