Individual
SUSAN L MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
6320 N QUAIL HOLLOW RD, MEMPHIS, TN 38120-1420
(901) 761-0021
(901) 432-5215
Mailing address
5469 SOUTHWOOD DR, MEMPHIS, TN 38120-1928
(901) 761-0021
(901) 432-5215
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP0000000682
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
C41
—
TN
Enumeration date
02/28/2008
Last updated
11/15/2011
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