Provider Demographics
NPI:1376363382
Name:MILLAN, MARIA CAMILA (SLP)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:CAMILA
Last Name:MILLAN
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:CAMILA
Other - Last Name:ABURN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3950 3RD ST N STE D
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33703-6123
Mailing Address - Country:US
Mailing Address - Phone:877-268-4329
Mailing Address - Fax:
Practice Address - Street 1:2921 STRANDEN RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21230-2941
Practice Address - Country:US
Practice Address - Phone:410-396-1406
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-14
Last Update Date:2024-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD03039L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist