Individual
MRS. ANNE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC, SLP
Contact information
Practice address
5606 S 147TH ST, OMAHA, NE 68137-2648
(402) 715-8200
Mailing address
5606 S 147TH ST, OMAHA, NE 68137-2648
(402) 715-8200
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8213281943
NDE STAFF ID
NE
Enumeration date
03/03/2009
Last updated
10/30/2015
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