| Doctor Name: | JASON MILLER |
| NPI Number: | 1053716894 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | SLP |
| License Number: | 19405 |
| Business Practice Address: | 101b W Central Texas Expy # B Suite D Harker Heights, TX - 765481704 |
| Business Phone Number: | 2546301186 |
| Business Fax Number: | |
| Mailing Address: | Po Box 11538, KILLEEN |
| State: | TX |
| Postal Code: | 765471538 |
| Phone Number: | 2542459178 |
| Fax Number: | |
| NPI Enumeration Date: | 10/22/2014 |
| NPI Last Update Date: | 10/22/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 19405 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |