| Doctor Name: | CONNIE J MILLER |
| NPI Number: | 1124109137 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS CCC-SLP |
| License Number: | 1051 |
| Business Practice Address: | Fort Harrision Montana 1892 Williams St Fort Harrison, MT - 59636 |
| Business Phone Number: | 4064426410 |
| Business Fax Number: | 4064477991 |
| Mailing Address: | 814 Broadway, HELENA |
| State: | MT |
| Postal Code: | 59601 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 10/17/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 1051 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MT |
| 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 |