Provider Demographics
NPI:1225042849
Name:MILLER, DEBBY R (AUD)
Entity Type:Individual
Prefix:
First Name:DEBBY
Middle Name:R
Last Name:MILLER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:DEBBY
Other - Middle Name:
Other - Last Name:LAZAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8818 CENTRE PARK DRIVE
Mailing Address - Street 2:SUITE 107
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045
Mailing Address - Country:US
Mailing Address - Phone:410-740-4885
Mailing Address - Fax:410-740-4677
Practice Address - Street 1:8818 CENTRE PARK DRIVE
Practice Address - Street 2:SUITE 107
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045
Practice Address - Country:US
Practice Address - Phone:410-740-4885
Practice Address - Fax:410-740-4677
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2019-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD00733231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDP00246355OtherRAILROAD MEDICARE
MDP00246355OtherRAILROAD MEDICARE