Individual
MRS. HAYLIE ANN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1619 CURLEW DR, SUITE 5, AMMON, ID 83406-4719
(208) 535-1286
(208) 535-1291
Mailing address
1619 CURLEW DR, SUITE 5, AMMON, ID 83406-4719
(208) 535-1286
(208) 535-1291
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP-1642
ID
Other
Enumeration date
08/05/2007
Last updated
08/05/2007
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