Individual
AMANDA J MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
12-15 SADDLE RIVER RD, FAIR LAWN, NJ 07410-5808
(201) 797-9522
Mailing address
8 WATERFORD CT, WAYNE, NJ 07470-3738
(973) 886-4059
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TL-3721
NJ
Other
Enumeration date
10/19/2021
Last updated
10/19/2021
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