Individual
AMANDA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,CCC-SLP
Contact information
Practice address
921 SHILOH RD, TYLER, TX 75703
(903) 939-2800
(866) 386-4531
Mailing address
6701 SANGER AVE, #103, WACO, TX 76710-7736
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
111263
TX
Other
Enumeration date
04/28/2016
Last updated
06/05/2018
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