Individual
JENNIFER G MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1035 N ELLSWORTH RD STE 107, MESA, AZ 85207-5144
(602) 628-3798
Mailing address
1035 N ELLSWORTH RD STE 107, MESA, AZ 85207-5144
(602) 628-3798
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP1202
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
525842
—
AZ
01
—
AZ0298870
BCBS NUMBER
AZ
Enumeration date
05/20/2006
Last updated
06/26/2025
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