Individual
MRS. AMY RENEE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCCSLP
Contact information
Practice address
3023 WILMINGTON RD, NEW CASTLE, PA 16105
(724) 656-8814
(724) 656-8815
Mailing address
311 GLENWOOD WAY, BUTLER, PA 16001-1648
(724) 679-1756
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL007309
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0019310290004
MEDICAL ASSISTANCE
PA
Enumeration date
03/27/2007
Last updated
03/30/2016
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