Individual
AMANDA BRAULT MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
18757 BURBANK BLVD STE 125, TARZANA, CA 91356-3345
(818) 522-6611
Mailing address
18757 BURBANK BLVD STE 125, TARZANA, CA 91356-3345
(818) 522-6611
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP 12613
CA
Other
Enumeration date
02/27/2008
Last updated
05/04/2020
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