Individual
DR. MARY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, CCC-A
Contact information
Practice address
16038 DOCTORS BLVD, HAMMOND, LA 70403-1478
(985) 419-8080
(985) 542-0282
Mailing address
16038 DOCTORS BLVD, HAMMOND, LA 70403-1478
(985) 419-8080
(985) 542-0282
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
5622
LA
231HA2400X
Assistive Technology Practitioner Audiologist
5622
LA
231HA2500X
Assistive Technology Supplier Audiologist
5622
LA
237600000X
Audiologist-Hearing Aid Fitter
5622
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1169471
—
LA
Enumeration date
07/11/2006
Last updated
03/04/2025
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