Individual
HANNAH MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2758 MILLENIUM DRIVE, FAYETTEVILLE, AR 72703
(479) 935-4441
Mailing address
2 COUNTRY PL, ROLAND, AR 72135-9763
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#3808
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207203721
—
AR
Enumeration date
09/24/2015
Last updated
09/24/2015
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