Individual
KRISTINA LEE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
7105 SKY MEADOW DR, COLLEGE GROVE, TN 37046-1511
(630) 779-6065
Mailing address
7105 SKY MEADOW DR, COLLEGE GROVE, TN 37046-1511
(630) 779-6065
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
146010682
IL
235Z00000X
Speech-Language Pathologist
Primary
8050
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8050
—
TN
Enumeration date
06/23/2010
Last updated
01/25/2024
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