Organization
PEDIATRIC THERAPY OF SWLA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AVERY THOMAS MILLER MA, CCC-SLP (SPEECH PATHOLOGIST)
(337) 309-6485
Entity
Organization
Contact information
Practice address
691 S POST OAK RD, SULPHUR, LA 70663-3631
(337) 309-6485
Mailing address
691 S POST OAK RD, SULPHUR, LA 70663-3631
(337) 309-6485
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/15/2025
Last updated
10/15/2025
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