Doctor Name: | AMANDA BRAULT MILLER |
NPI Number: | 1558530113 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC-SLP |
License Number: | SP 12613 |
Business Practice Address: | 28093 Smyth Dr Valencia, CA - 913554023 |
Business Phone Number: | 6612950181 |
Business Fax Number: | 6612959776 |
Mailing Address: | 28093 Smyth Dr, VALENCIA |
State: | CA |
Postal Code: | 913554023 |
Phone Number: | 6612950181 |
Fax Number: | 6612959776 |
NPI Enumeration Date: | 02/27/2008 |
NPI Last Update Date: | 06/05/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP 12613 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |