Individual
TREVOR MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA CCC-SLP
Contact information
Practice address
353 TYLER ST, GARY, IN 46402-1149
(219) 886-7070
Mailing address
7240 OHIO AVE, HAMMOND, IN 46323-2508
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22007808A
IN
Other
Enumeration date
12/07/2021
Last updated
12/07/2021
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