Individual
SAMANTHA ANN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
4429 E 56TH ST, DAVENPORT, IA 52807-2995
(563) 441-3000
Mailing address
2833 N PINE ST, DAVENPORT, IA 52804-1533
(630) 465-1277
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
115566
IA
235Z00000X
Speech-Language Pathologist
242.006345
IL
Other
Enumeration date
08/02/2021
Last updated
07/12/2022
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