Provider Demographics
NPI:1003009234
Name:MILLER, ADRIANNE LYN (AUD, CCC-A, FAAA)
Entity Type:Individual
Prefix:DR
First Name:ADRIANNE
Middle Name:LYN
Last Name:MILLER
Suffix:
Gender:F
Credentials:AUD, CCC-A, FAAA
Other - Prefix:MS
Other - First Name:ADRIANNE
Other - Middle Name:LYN
Other - Last Name:HEAD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:4601 HARTFORD ST
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79605-4603
Mailing Address - Country:US
Mailing Address - Phone:325-793-3400
Mailing Address - Fax:325-223-6408
Practice Address - Street 1:3001 S JACKSON ST
Practice Address - Street 2:
Practice Address - City:SAN ANGELO
Practice Address - State:TX
Practice Address - Zip Code:76904-5129
Practice Address - Country:US
Practice Address - Phone:325-223-6301
Practice Address - Fax:325-223-6408
Is Sole Proprietor?:No
Enumeration Date:2007-08-21
Last Update Date:2013-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX51642231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB165441OtherPTAN