Doctor Name: | JENNIFER G MILLER |
NPI Number: | 1285688648 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SPT |
License Number: | SLP1202 |
Business Practice Address: | 1035 N Ellsworth Rd Ste 107 Mesa, AZ - 852075144 |
Business Phone Number: | 6026283798 |
Business Fax Number: | |
Mailing Address: | 1035 N Ellsworth Rd Ste 107, MESA |
State: | AZ |
Postal Code: | 852075144 |
Phone Number: | 6026283798 |
Fax Number: | |
NPI Enumeration Date: | 05/20/2006 |
NPI Last Update Date: | 05/30/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP1202 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
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 |