Individual
JACOB ALLEN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
25595 COOLIDGE HWY, OAK PARK, MI 48237-1306
(248) 677-3126
Mailing address
46455 JONATHAN CIR APT 207, SHELBY TOWNSHIP, MI 48317-3872
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7152001454
MI
Other
Enumeration date
06/10/2026
Last updated
06/10/2026
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