Provider Demographics
NPI:1871803296
Name:MILIOTO, VIRGINIA (SLP)
Entity type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:
Last Name:MILIOTO
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 ORONO RD
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04102-1106
Mailing Address - Country:US
Mailing Address - Phone:207-874-8205
Mailing Address - Fax:
Practice Address - Street 1:23 ORONO RD
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04102-1106
Practice Address - Country:US
Practice Address - Phone:207-874-8205
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-19
Last Update Date:2010-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist