Individual
JENNIFER MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
305 GRISTMILL DR, FOREST, VA 24551-2627
(434) 385-1074
(434) 385-1342
Mailing address
305 GRISTMILL DR, FOREST, VA 24551-2627
(434) 385-1074
(434) 385-1342
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202001107
VA
235Z00000X
Speech-Language Pathologist
SLP.5301 SLP
SC
Other
Enumeration date
04/29/2014
Last updated
07/15/2020
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