# PEREGRINE THERAPY, PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Peregrine Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003688540
- **Authorized official:** MR. DANIEL MILLER IV MS, MA, CCC-SLP (OWNER, SPEECH-LANGUAGE PATHOLOGIST)
- **Authorized official phone:** (765) 476-3108

## Contact information

- **Practice address:** 16770 NE 79TH ST STE 105, REDMOND, WA 98052-4413
- **Practice address phone:** (425) 689-8570
- **Practice address fax:** (425) 689-7521
- **Mailing address:** 16770 NE 79TH ST STE 105, REDMOND, WA 98052-4413
- **Mailing address phone:** (425) 689-8570
- **Mailing address fax:** (425) 689-7521

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |
| 261QH0700X | Hearing and Speech Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/27/2023
- **Last updated:** 10/27/2023