Individual
MARY ALICE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
701 10TH ST SE, CEDAR RAPIDS, IA 52403-1292
(319) 398-6881
Mailing address
701 10TH ST SE, CEDAR RAPIDS, IA 52403-1251
(319) 398-6881
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
083081
IA
235Z00000X
Speech-Language Pathologist
Primary
14067613
IA
Other
Enumeration date
09/08/2016
Last updated
11/02/2021
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