Individual
JESSICA LAUREN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
8200 CEDAR RD, CHESTERLAND, OH 44026-3550
(440) 729-9406
Mailing address
8105 AUTUMN DR, CHARDON, OH 44024-8843
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
COND.20201417-SP
OH
235Z00000X
Speech-Language Pathologist
Primary
SP.14468
OH
Other
Enumeration date
09/24/2020
Last updated
08/16/2022
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