Doctor Name: | MS. ELISABETH ANN MILLER |
NPI Number: | 1093852386 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | 2202003690 |
Business Practice Address: | 44035 Riverside Pkwy Suite 500a Leesburg, VA - 201768260 |
Business Phone Number: | 7038586667 |
Business Fax Number: | 7038586665 |
Mailing Address: | 44035 Riverside Pkwy, Suite 500a LEESBURG |
State: | VA |
Postal Code: | 201768260 |
Phone Number: | 7038586667 |
Fax Number: | 7038586665 |
NPI Enumeration Date: | 01/30/2007 |
NPI Last Update Date: | 12/12/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2202003690 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
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 |