| Miss Katie Michelle Millican, SLP | |
|
3505 East Meridian Park Loop, Ste. 200, Wasilla, AK 99654 | |
| (907) 232-6322 | |
| Not Available |
| Full Name | Miss Katie Michelle Millican |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 3505 East Meridian Park Loop, Ste. 200, Wasilla, Alaska |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871986745 | NPI | - | NPPES |
| 1651831 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 546 (Alaska) | Primary |
| Provider Name | Alaska Native Tribal Health Consortium |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1437189339 PECOS PAC ID: 6709780265 Enrollment ID: O20031125000772 |
| Provider Name | Southcentral Foundation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1780614263 PECOS PAC ID: 5496663627 Enrollment ID: O20051027000416 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Katie Michelle Millican, SLP 3505 East Meridian Park Loop, Ste. 200, Wasilla, AK 99654 Ph: (907) 232-6322 | Miss Katie Michelle Millican, SLP 3505 East Meridian Park Loop, Ste. 200, Wasilla, AK 99654 Ph: (907) 232-6322 |
Rhonda Price Burt, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 950 E Bogard Rd Ste 228, Wasilla, AK 99654 Phone: 907-376-8938 | |
Katherine Elaine Mclarnon, SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1051 E Bogard Rd Ste 1, Wasilla, AK 99654 Phone: 907-521-4566 | |
Raegan Mae Stanley, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 650 N Shoreline Dr, Wasilla, AK 99654 Phone: 907-376-6363 Fax: 907-376-6366 | |
Christine Anne Samms, MA CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3505 E Meridian Park Loop Ste 200, Wasilla, AK 99654 Phone: 907-357-4543 | |
Mrs. Regina Marie Jones, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 300 W Swanson Ave, Wasilla, AK 99654 Phone: 907-313-3600 | |
Mrs. Carol Anne Reed, MS, CFY-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 401 E Bogard Rd, Wasilla, AK 99654 Phone: 907-357-2578 Fax: 907-357-2529 | |
Sarah Moriarty, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 613 S Knik Goose Bay Rd Ste B, Wasilla, AK 99654 Phone: 888-698-9881 |