Individual
ALYSSA NICOLE MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA SLP-CCC
Contact information
Practice address
650 OFFICE PKWY, CREVE COEUR, MO 63141-7103
(314) 838-1465
Mailing address
1519 SWALLOW DR, SAINT LOUIS, MO 63144-1619
(618) 420-4129
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2018030275
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2018030275
SPEECH LANGUAGE PATHOLOGIST
MO
Enumeration date
10/31/2019
Last updated
10/31/2019
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