Provider Demographics
NPI:1467962654
Name:MILLER, SKYLAR RILEY
Entity Type:Individual
Prefix:
First Name:SKYLAR
Middle Name:RILEY
Last Name:MILLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SKYLAR
Other - Middle Name:
Other - Last Name:RILEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7094 HIGHWAY 76 W
Mailing Address - Street 2:
Mailing Address - City:ADAMS
Mailing Address - State:TN
Mailing Address - Zip Code:37010-5056
Mailing Address - Country:US
Mailing Address - Phone:931-920-7422
Mailing Address - Fax:
Practice Address - Street 1:7094 HIGHWAY 76 W
Practice Address - Street 2:
Practice Address - City:ADAMS
Practice Address - State:TN
Practice Address - Zip Code:37010-5056
Practice Address - Country:US
Practice Address - Phone:931-920-7422
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-03
Last Update Date:2017-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist