Individual
JENNIFER K. MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1930 E SOUTHERN AVE, TEMPE, AZ 85282-7518
(480) 456-0719
(480) 456-0163
Mailing address
18246 N 15TH PL, PHOENIX, AZ 85022-1278
(505) 480-6926
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP5204
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144506
—
AZ
Enumeration date
10/24/2006
Last updated
05/10/2018
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