Provider Demographics
NPI:1407096126
Name:MILLER, ANDREA JUNE
Entity Type:Individual
Prefix:MISS
First Name:ANDREA
Middle Name:JUNE
Last Name:MILLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 NC 54
Mailing Address - Street 2:APARTMENT H4
Mailing Address - City:CARRBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27510-1949
Mailing Address - Country:US
Mailing Address - Phone:919-428-3428
Mailing Address - Fax:
Practice Address - Street 1:401 NC 54
Practice Address - Street 2:APARTMENT H4
Practice Address - City:CARRBORO
Practice Address - State:NC
Practice Address - Zip Code:27510-1949
Practice Address - Country:US
Practice Address - Phone:919-428-3428
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-21
Last Update Date:2009-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist