Organization
PEREGRINE THERAPY, PLLC
Active
Other names
Peregrine Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL MILLER IV MS, MA, CCC-SLP (OWNER, SPEECH-LANGUAGE PATHOLOGIST)
(765) 476-3108
Entity
Organization
Contact information
Practice address
16770 NE 79TH ST STE 105, REDMOND, WA 98052-4413
(425) 689-8570
(425) 689-7521
Mailing address
16770 NE 79TH ST STE 105, REDMOND, WA 98052-4413
(425) 689-8570
(425) 689-7521
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
—
—
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Enumeration date
10/27/2023
Last updated
10/27/2023
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